CLIA lab
CLIA 52D2209086: Evansville Hometown Pharmacy
Evansville, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2209086 belongs to Evansville Hometown Pharmacy in Evansville, WI.
Certificate of Waiver, effective January 11, 2025, expires January 10, 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
- January 11, 2025
- Certificate expiration
- January 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 11, 2021
- 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
- 52D2209086
- Lab name
- Evansville Hometown Pharmacy
- Address
- 21 West Main St, Evansville, WI 53536
- 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 Evansville, WI
- Evansville EMSCertificate of Waiver, Ambulance52D2173003
- Evansville ManorCertificate of Waiver, Skilled nursing or nursing facility52D0882881
- Heights Assisted Living, theCertificate of Waiver, Assisted living facility52D2209907
- Kelly HouseCertificate of Waiver, Assisted living facility52D2032758
- Mercyhealth EvansvilleCertificate of Waiver, Physician office52D0683329
- SSM Health Dean Medical Group - EvansvilleCertificate of Waiver, Physician office52D0663335
- Stoughton Trailers - Marathon Health EvansvilleCertificate of Waiver, Other52D2267938
Related
Questions
What is the CLIA number for Evansville Hometown Pharmacy in Evansville?
52D2209086, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evansville Hometown Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2209086 expire?
The CMS file lists January 10, 2027 as the certificate expiration date; the certificate took effect January 11, 2025.