52D2279493 CLIA NUMBER - WISCONSIN CVS PHARMACY, LLC DBA CVS/PHARMACY #08525

Laboratory Demographics

  • CLIA Code: 52D2279493
  • Facility Name: WISCONSIN CVS PHARMACY, LLC DBA CVS/PHARMACY #08525
  • Facility Address: 700 WEST WISCONSIN AVE
    APPLETON, WI
    ZIP 54914
  • Facility Phone: 920 991-1190
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE MEUNIER
  • NPI Number: 1619918588
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2279493
LAB Type Pharmacy
Facility Name WISCONSIN CVS PHARMACY, LLC DBA CVS/PHARMACY #08525
Street 700 WEST WISCONSIN AVE
City APPLETON
State WI
ZIP 54914
Phone 920 991-1190
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 MICHELLE MEUNIER

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