CLIA lab

CLIA 52D2177192: Meijer Pharmacy #304

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

CLIA number 52D2177192 belongs to Meijer Pharmacy #304 in Manitowoc, WI.

Certificate of Waiver, effective January 7, 2026, expires January 6, 2028.

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
January 7, 2026
Certificate expiration
January 6, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 7, 2020
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
52D2177192
Lab name
Meijer Pharmacy #304
Address
1818 S Rapids Rd, Manitowoc, WI 54220
Phone
(920) 663-3845
Fax
(920) 663-3865

Annual test volume the lab reported

Waived tests
180

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Manitowoc, WI

Related

Questions

What is the CLIA number for Meijer Pharmacy #304 in Manitowoc?

52D2177192, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Meijer Pharmacy #304 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2177192 expire?

The CMS file lists January 6, 2028 as the certificate expiration date; the certificate took effect January 7, 2026.

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