52D2226851 CLIA NUMBER - WISCONSIN CVS PHARMACY, LLC DBA CVS/PHARMACY #05390

Laboratory Demographics

  • CLIA Code: 52D2226851
  • Facility Name: WISCONSIN CVS PHARMACY, LLC DBA CVS/PHARMACY #05390
  • Facility Address: 5220 WEST RAWSON AVE
    FRANKLIN, WI
    ZIP 53132
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARLY JONES
  • NPI Number: 1558603100
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 52D2226851
LAB Type Pharmacy
Facility Name WISCONSIN CVS PHARMACY, LLC DBA CVS/PHARMACY #05390
Street 5220 WEST RAWSON AVE
City FRANKLIN
State WI
ZIP 53132
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Pharmacy
Lab Director CARLY JONES

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This page was last updated on: 9/29/2025