52D2242681 CLIA NUMBER - IPACK PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 52D2242681
  • Facility Name: IPACK PHARMACY LLC
  • Facility Address: 17000 W NORTH AVE STE 108W
    BROOKFIELD, WI
    ZIP 53005
  • Facility Phone: 262 649-3900
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUNNY D. PATEL
  • NPI Number: 1902417207
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2242681
LAB Type Pharmacy
Facility Name IPACK PHARMACY LLC
Street 17000 W NORTH AVE STE 108W
City BROOKFIELD
State WI
ZIP 53005
Phone 262 649-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Pharmacy
Lab Director SUNNY D. PATEL

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