52D2227230 CLIA NUMBER - BCS HEALTH LLC DBA EAST TROY PHARMACY

Laboratory Demographics

  • CLIA Code: 52D2227230
  • Facility Name: BCS HEALTH LLC DBA EAST TROY PHARMACY
  • Facility Address: 3284 MAIN ST
    EAST TROY, WI
    ZIP 53120
  • Facility Phone: 262 642-3510
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEITH A. WITT
  • NPI Number: 1568922516
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2227230
LAB Type Pharmacy
Facility Name BCS HEALTH LLC DBA EAST TROY PHARMACY
Street 3284 MAIN ST
City EAST TROY
State WI
ZIP 53120
Phone 262 642-3510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Pharmacy
Lab Director KEITH A. WITT

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