52D2011782 CLIA NUMBER - WALGREENS #07259

Laboratory Demographics

  • CLIA Code: 52D2011782
  • Facility Name: WALGREENS #07259
  • Facility Address: 3855 S MOORLAND RD
    NEW BERLIN, WI
    ZIP 53151
  • Facility Phone: 262 784-4992
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. ELLEN M. FOSS
  • NPI Number: 1730194622
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2011782
LAB Type Pharmacy
Facility Name WALGREENS #07259
Street 3855 S MOORLAND RD
City NEW BERLIN
State WI
ZIP 53151
Phone 262 784-4992
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Pharmacy
Lab Director MS. ELLEN M. FOSS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025