52D2011784 CLIA NUMBER - WALGREENS #03883

Laboratory Demographics

  • CLIA Code: 52D2011784
  • Facility Name: WALGREENS #03883
  • Facility Address: 221 E SUNSET DR
    WAUKESHA, WI
    ZIP 53189
  • Facility Phone: 262 542-3981
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HEATHER M. JUSTUS
  • NPI Number: 1487669388
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2011784
LAB Type Pharmacy
Facility Name WALGREENS #03883
Street 221 E SUNSET DR
City WAUKESHA
State WI
ZIP 53189
Phone 262 542-3981
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type Pharmacy
Lab Director HEATHER M. JUSTUS

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