52D2270185 CLIA NUMBER - FORWARD PHARMACY OF DEERFIELD

Laboratory Demographics

  • CLIA Code: 52D2270185
  • Facility Name: FORWARD PHARMACY OF DEERFIELD
  • Facility Address: 10 LIBERTY ST
    DEERFIELD, WI
    ZIP 53531
  • Facility Phone: 608 764-1500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN A. BENDER
  • NPI Number: 1164932091
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2270185
LAB Type Pharmacy
Facility Name FORWARD PHARMACY OF DEERFIELD
Street 10 LIBERTY ST
City DEERFIELD
State WI
ZIP 53531
Phone 608 764-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Pharmacy
Lab Director RYAN A. BENDER

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