52D2244602 CLIA NUMBER - UPTOWN PHARMACY AND WELLNESS

Laboratory Demographics

  • CLIA Code: 52D2244602
  • Facility Name: UPTOWN PHARMACY AND WELLNESS
  • Facility Address: 3512 N OAKLAND AVE
    SHOREWOOD, WI
    ZIP 53211
  • Facility Phone: 414 581-5396
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAZEN SEDDICK
  • NPI Number: 1184389900
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2244602
LAB Type Pharmacy
Facility Name UPTOWN PHARMACY AND WELLNESS
Street 3512 N OAKLAND AVE
City SHOREWOOD
State WI
ZIP 53211
Phone 414 581-5396
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Pharmacy
Lab Director MAZEN SEDDICK

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