52D2305511 CLIA NUMBER - WOLF RIVER PHARMACY

Laboratory Demographics

  • CLIA Code: 52D2305511
  • Facility Name: WOLF RIVER PHARMACY
  • Facility Address: 600 E PIONEER ST SUITE 3
    CRANDON, WI
    ZIP 54520
  • Facility Phone: 715 478-3369
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KENNETH SCHAEFER
  • NPI Number: 1336295245
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2305511
LAB Type Pharmacy
Facility Name WOLF RIVER PHARMACY
Street 600 E PIONEER ST SUITE 3
City CRANDON
State WI
ZIP 54520
Phone 715 478-3369
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Pharmacy
Lab Director KENNETH SCHAEFER

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: 9/29/2025