CLIA lab
CLIA 52D2196195: Mayville Hometown Pharmacy LLC
Mayville, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2196195 belongs to Mayville Hometown Pharmacy LLC in Mayville, WI.
Certificate of Waiver, effective October 15, 2026, expires October 14, 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
- October 15, 2026
- Certificate expiration
- October 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 15, 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
- 52D2196195
- Lab name
- Mayville Hometown Pharmacy LLC
- Address
- 1448 Horicon St, Mayville, WI 53050
- Phone
- (920) 992-6800
- Fax
- (920) 992-6801
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 Mayville, WI
- City of Mayville Ambulance ServiceCertificate of Waiver, Ambulance52D0993486
- Crossroads Care Center of MayvilleCertificate of Waiver, Skilled nursing or nursing facility52D0925206
- Kekoskee Volunteer Fire DepartmentCertificate of Waiver, Mobile lab52D2074495
- Legacy Medical Services LLCCertificate of Waiver, Physician office52D2145545
- Mayville School DistrictCertificate of Waiver, School or student health service52D2229804
- Mec Health and Wellness CenterCertificate of Waiver, Physician office52D2170878
- Prairie Ridge Assisted Living (Cbrf)Certificate of Waiver, Assisted living facility52D2185933
- Qmed - Mayville SouthCertificate of Waiver, Physician office52D2292626
- Quadmed Health and Wellness Center - MetalcraftCertificate of Waiver, Physician office52D2316184
- Seneca Foods Corporation - Mayville, WiCertificate of Waiver, Other52D2247662
Related
Questions
What is the CLIA number for Mayville Hometown Pharmacy LLC in Mayville?
52D2196195, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mayville Hometown Pharmacy LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2196195 expire?
The CMS file lists October 14, 2028 as the certificate expiration date; the certificate took effect October 15, 2026.