CLIA lab

CLIA 52D2263239: Port Family Pharmacy, Inc

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

CLIA number 52D2263239 belongs to Port Family Pharmacy, Inc in Port Washington, WI.

Certificate of Waiver, effective June 24, 2026, expires June 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
June 24, 2026
Certificate expiration
June 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 24, 2022
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
52D2263239
Lab name
Port Family Pharmacy, Inc
Address
1021 N Wisconsin St, Port Washington, WI 53074
Phone
(262) 261-3900

Annual test volume the lab reported

Waived tests
500

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

Other labs in Port Washington, WI

Related

Questions

What is the CLIA number for Port Family Pharmacy, Inc in Port Washington?

52D2263239, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Port Family Pharmacy, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2263239 expire?

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

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