CLIA lab
CLIA 52D2125686: Peshtigo Hometown Pharmacy
Peshtigo, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2125686 belongs to Peshtigo Hometown Pharmacy in Peshtigo, WI.
Certificate of Waiver, effective February 13, 2025, expires February 12, 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
- February 13, 2025
- Certificate expiration
- February 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 13, 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
- 52D2125686
- Lab name
- Peshtigo Hometown Pharmacy
- Address
- 960 Frontage Rd, Peshtigo, WI 54157
- Phone
- (715) 582-0898
- Fax
- (715) 582-0897
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 Peshtigo, WI
- Aurora Health Center PeshtigoCertificate of Waiver, Community clinic52D0965893
- Emplify Health Peshtigo ClinicCertificate of Waiver, Physician office52D0394550
- Peshtigo (City of) Fire Rescue DeptCertificate of Waiver, Other practitioner52D2307069
- Peshtigo School DistrictCertificate of Waiver, School or student health service52D2226595
- Rennes Health Center - WestCertificate of Waiver, Skilled nursing or nursing facility52D0678684
- Rennes Health Center EastCertificate of Waiver, Skilled nursing or nursing facility52D0662028
- Residence By Rennes-PeshtigoCertificate of Waiver, Assisted living facility52D2286787
Related
Questions
What is the CLIA number for Peshtigo Hometown Pharmacy in Peshtigo?
52D2125686, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Peshtigo Hometown Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2125686 expire?
The CMS file lists February 12, 2027 as the certificate expiration date; the certificate took effect February 13, 2025.