52D2012216 CLIA NUMBER - WALGREENS #03291

Laboratory Demographics

  • CLIA Code: 52D2012216
  • Facility Name: WALGREENS #03291
  • Facility Address: 275 DAVISON DR
    SUN PRAIRIE, WI
    ZIP 53590
  • Facility Phone: 608 837-8566
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. JOSEPH HIGGINS
  • NPI Number: 1437340486
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2012216
LAB Type Pharmacy
Facility Name WALGREENS #03291
Street 275 DAVISON DR
City SUN PRAIRIE
State WI
ZIP 53590
Phone 608 837-8566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Pharmacy
Lab Director DR. JOSEPH HIGGINS

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