CLIA lab

CLIA 52D2179424: Forward Pharmacy

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

CLIA number 52D2179424 belongs to Forward Pharmacy in Cottage Grove, WI.

Certificate of Waiver, effective February 24, 2026, expires February 23, 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
February 24, 2026
Certificate expiration
February 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 24, 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
52D2179424
Lab name
Forward Pharmacy
Address
429 W Cottage Grove Rd, Cottage Grove, WI 53527
Phone
(608) 839-3335
Fax
(608) 839-3336

Annual test volume the lab reported

Waived tests
150

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

Other labs in Cottage Grove, WI

Related

Questions

What is the CLIA number for Forward Pharmacy in Cottage Grove?

52D2179424, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Forward Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2179424 expire?

The CMS file lists February 23, 2028 as the certificate expiration date; the certificate took effect February 24, 2026.

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