52D2012219 CLIA NUMBER - WALGREENS #02848

Laboratory Demographics

  • CLIA Code: 52D2012219
  • Facility Name: WALGREENS #02848
  • Facility Address: 606 S WHITNEY WAY
    MADISON, WI
    ZIP 53711
  • Facility Phone: 608 274-1311
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SASHA K. DELANEY
  • NPI Number: 1366457426
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2012219
LAB Type Pharmacy
Facility Name WALGREENS #02848
Street 606 S WHITNEY WAY
City MADISON
State WI
ZIP 53711
Phone 608 274-1311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Pharmacy
Lab Director SASHA K. DELANEY

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