CLIA lab
CLIA 52D2163994: Northland Hometown Pharmacy
Appleton, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2163994 belongs to Northland Hometown Pharmacy in Appleton, WI.
Certificate of Waiver, effective March 26, 2025, expires March 25, 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
- March 26, 2025
- Certificate expiration
- March 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 26, 2019
- 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
- 52D2163994
- Lab name
- Northland Hometown Pharmacy
- Address
- 420 E Northland Ave Suite H, Appleton, WI 54911
- Phone
- (920) 840-6033
- Fax
- (920) 840-6017
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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- Alexander Eye Institute, SCCertificate of Waiver, Physician office52D2020547
- Alexander Eye Surgery Center LLCCertificate of Waiver, Ambulatory surgery center52D2003566
- Anovia Health, SC - AppletonCertificate of Waiver, Community clinic52D2284976
- Apple Creek PlaceCertificate of Waiver, Assisted living facility52D1055036
- Apple Creek PlaceCertificate of Waiver, Assisted living facility52D2002838
- Apple Creek PlaceCertificate of Waiver, Assisted living facility52D2073791
- Apple ValleyCertificate of Waiver, Assisted living facility52D2196099
- Appleton Health DepartmentCertificate of Waiver, Public health laboratory52D0716824
- Appleton Retirement CommunityCertificate of Waiver, Assisted living facility52D0984547
Related
Questions
What is the CLIA number for Northland Hometown Pharmacy in Appleton?
52D2163994, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northland Hometown Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2163994 expire?
The CMS file lists March 25, 2027 as the certificate expiration date; the certificate took effect March 26, 2025.