CLIA lab
CLIA 52D2212151: Sister Bay Hometown Pharmacy
Sister Bay, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2212151 belongs to Sister Bay Hometown Pharmacy in Sister Bay, WI.
Certificate of Waiver, effective February 3, 2025, expires February 2, 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
- February 3, 2025
- Certificate expiration
- February 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 3, 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
- 52D2212151
- Lab name
- Sister Bay Hometown Pharmacy
- Address
- 10578 Country Walk Dr #27, Sister Bay, WI 54234
- 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 Sister Bay, WI
Related
Questions
What is the CLIA number for Sister Bay Hometown Pharmacy in Sister Bay?
52D2212151, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sister Bay Hometown Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2212151 expire?
The CMS file lists February 2, 2027 as the certificate expiration date; the certificate took effect February 3, 2025.