52D2012125 CLIA NUMBER - WALGREENS #04537

Laboratory Demographics

  • CLIA Code: 52D2012125
  • Facility Name: WALGREENS #04537
  • Facility Address: 7600 W CAPITOL DR
    MILWAUKEE, WI
    ZIP 53222
  • Facility Phone: 414 464-4601
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GABRIELLA IMREI
  • NPI Number: 1083621965
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2012125
LAB Type Pharmacy
Facility Name WALGREENS #04537
Street 7600 W CAPITOL DR
City MILWAUKEE
State WI
ZIP 53222
Phone 414 464-4601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Pharmacy
Lab Director GABRIELLA IMREI

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