CLIA lab
CLIA 52D2124241: Beaver Dam Hometown Pharmacy
Beaver Dam, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2124241 belongs to Beaver Dam Hometown Pharmacy in Beaver Dam, WI.
Certificate of Waiver, effective January 12, 2025, expires January 11, 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
- January 12, 2025
- Certificate expiration
- January 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 12, 2017
- 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
- 52D2124241
- Lab name
- Beaver Dam Hometown Pharmacy
- Address
- 609 N Spring St, Beaver Dam, WI 53916
- Phone
- (920) 992-6800
- Fax
- (920) 992-6801
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Beaver Dam, WI
- Bdch Hillside Home Health Care/HospiceCertificate of Waiver, Hospice52D0684577
- Bdch Inc-Hillside ManorCertificate of Waiver, Skilled nursing or nursing facility52D0670224
- Beaver Dam Al Operations MC, LLCCertificate of Waiver, Assisted living facility52D2175791
- Beaver Dam Al Operations, LLCCertificate of Waiver, Assisted living facility52D2175793
- Beaver Dam CbocCertificate of Accreditation, Community clinic52D1016786
- Beaver Dam Fire DepartmentCertificate of Waiver, Ambulance52D0930689
- Beaver Dam Medical ClinicsCertificate of Waiver, Physician office52D2003774
- Beaver Dam Reference LaboratoryCertificate of Accreditation, Independent52D0662012
- Beaver Dam Senior LivingCertificate of Waiver, Assisted living facility52D2194341
- Beaver Dam Unified School DistrictCertificate of Waiver, School or student health service52D2316764
Related
Questions
What is the CLIA number for Beaver Dam Hometown Pharmacy in Beaver Dam?
52D2124241, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Beaver Dam Hometown Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2124241 expire?
The CMS file lists January 11, 2027 as the certificate expiration date; the certificate took effect January 12, 2025.