52D2279472 CLIA NUMBER - WISCONSIN CVS PHARMACY, LLC DBA CVS/PHARMACY #07261

Laboratory Demographics

  • CLIA Code: 52D2279472
  • Facility Name: WISCONSIN CVS PHARMACY, LLC DBA CVS/PHARMACY #07261
  • Facility Address: 2631 TOWER AVE
    SUPERIOR, WI
    ZIP 54880
  • Facility Phone: (715) 392-0487
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL KOLARCHEK
  • NPI Number: 1366707390
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2279472
LAB Type Pharmacy
Facility Name WISCONSIN CVS PHARMACY, LLC DBA CVS/PHARMACY #07261
Street 2631 TOWER AVE
City SUPERIOR
State WI
ZIP 54880
Phone 7153920487
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Pharmacy
Lab Director MICHAEL KOLARCHEK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026