CLIA lab

CLIA 52D2269739: Galesville LTC Pharmacy

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

CLIA number 52D2269739 belongs to Galesville LTC Pharmacy in Galesville, WI.

Certificate of Waiver, effective October 3, 2024, expiration date October 2, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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 3, 2024
Certificate expiration
October 2, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 3, 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
52D2269739
Lab name
Galesville LTC Pharmacy
Address
16811 So Main St, Galesville, WI 54630
Phone
(608) 468-6200
Fax
(608) 468-6230

Annual test volume the lab reported

Waived tests
100

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

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Related

Questions

What is the CLIA number for Galesville LTC Pharmacy in Galesville?

52D2269739, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Galesville LTC Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2269739 expire?

The CMS file lists October 2, 2026 as the certificate expiration date; the certificate took effect October 3, 2024.

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