CLIA lab
CLIA 52D2125747: Waupaca Hometown Pharmacy
Waupaca, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2125747 belongs to Waupaca Hometown Pharmacy in Waupaca, 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
- 52D2125747
- Lab name
- Waupaca Hometown Pharmacy
- Address
- 115 N Western Ave Unit 8, Waupaca, WI 54981
- Phone
- (715) 256-0400
- Fax
- (715) 256-0402
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.
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- Bethany Home, IncCertificate of Waiver, Skilled nursing or nursing facility52D0882487
- Camp Young Judea MidwestCertificate of Waiver, Other52D2216306
- Forefront Dermatology, SCCertificate for Provider-Performed Microscopy Procedures, Physician office52D2040979
- Fresenius Medical Care of WaupacaCertificate of Waiver, End stage renal disease dialysis facility52D1052652
- Gusmer EnterprisesCertificate of Waiver, Health fair52D2253395
- Halspa Health, SCCertificate of Waiver, Physician office52D2338735
- Medexpress Waupaca FoundryCertificate of Waiver, Physician office52D2230172
Related
Questions
What is the CLIA number for Waupaca Hometown Pharmacy in Waupaca?
52D2125747, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Waupaca Hometown Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2125747 expire?
The CMS file lists February 12, 2027 as the certificate expiration date; the certificate took effect February 13, 2025.