52D2237493 CLIA NUMBER - LTC, RX

Laboratory Demographics

  • CLIA Code: 52D2237493
  • Facility Name: LTC, RX
  • Facility Address: 13 E SPRUCE ST STE 102
    CHIPPEWA FALLS, WI
    ZIP 54729
  • Facility Phone: 715 861-4422
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAUL D. WINGER
  • NPI Number: 1396049706
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2237493
LAB Type Pharmacy
Facility Name LTC, RX
Street 13 E SPRUCE ST STE 102
City CHIPPEWA FALLS
State WI
ZIP 54729
Phone 715 861-4422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Pharmacy
Lab Director PAUL D. WINGER

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