CLIA lab

CLIA 52D2063714: Eannelli Pharmacy

Prairie Du Sac, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 52D2063714 belongs to Eannelli Pharmacy in Prairie Du Sac, WI.

Certificate of Waiver, effective August 7, 2025, expires August 6, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
August 7, 2025
Certificate expiration
August 6, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 7, 2013
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
52D2063714
Lab name
Eannelli Pharmacy
Address
405 Water Street, Prairie Du Sac, WI 53578
Phone
(608) 643-3396

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Prairie Du Sac, WI

Related

Questions

What is the CLIA number for Eannelli Pharmacy in Prairie Du Sac?

52D2063714, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Eannelli Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2063714 expire?

The CMS file lists August 6, 2027 as the certificate expiration date; the certificate took effect August 7, 2025.

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