CLIA lab
CLIA 52D2163996: Monroe Hometown Pharmacy West
Monroe, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2163996 belongs to Monroe Hometown Pharmacy West in Monroe, 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
- 52D2163996
- Lab name
- Monroe Hometown Pharmacy West
- Address
- 418 W 10 1/2 Street, Monroe, WI 53566
- Phone
- (608) 426-6540
- Fax
- (608) 426-6561
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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- Dimensions Living Monroe ICertificate of Waiver, Assisted living facility52D0983998
- Dimensions Living Monroe IICertificate of Waiver, Assisted living facility52D2025216
- Graceland Manor IICertificate of Waiver, Assisted living facility52D2195930
- Green County EMSCertificate of Waiver, Ambulance52D0985154
- Green County Health DepartmentCertificate of Waiver, Public health laboratory52D0661972
- Green County Human Services DepartmentCertificate of Waiver, Other52D2122717
- Green County JailCertificate of Waiver, Other52D2185598
Related
Questions
What is the CLIA number for Monroe Hometown Pharmacy West in Monroe?
52D2163996, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Monroe Hometown Pharmacy West hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2163996 expire?
The CMS file lists March 25, 2027 as the certificate expiration date; the certificate took effect March 26, 2025.