CLIA lab

CLIA 52D2125748: Lodi Hometown Pharmacy

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

CLIA number 52D2125748 belongs to Lodi Hometown Pharmacy in Lodi, 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
52D2125748
Lab name
Lodi Hometown Pharmacy
Address
801 N Main St, Lodi, WI 53555
Phone
(608) 592-0662
Fax
(608) 592-0665

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 Lodi, WI

Related

Questions

What is the CLIA number for Lodi Hometown Pharmacy in Lodi?

52D2125748, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lodi Hometown Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2125748 expire?

The CMS file lists February 12, 2027 as the certificate expiration date; the certificate took effect February 13, 2025.

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