52D2270189 CLIA NUMBER - FORWARD PHARMACY OF CAMBRIDGE

Laboratory Demographics

  • CLIA Code: 52D2270189
  • Facility Name: FORWARD PHARMACY OF CAMBRIDGE
  • Facility Address: 109 W MAIN ST
    CAMBRIDGE, WI
    ZIP 53523
  • Facility Phone: 608 423-3231
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN A. BENDER
  • NPI Number: 1376693614
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2270189
LAB Type Pharmacy
Facility Name FORWARD PHARMACY OF CAMBRIDGE
Street 109 W MAIN ST
City CAMBRIDGE
State WI
ZIP 53523
Phone 608 423-3231
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