52D2013111 CLIA NUMBER - WALGREENS 00649

Laboratory Demographics

  • CLIA Code: 52D2013111
  • Facility Name: WALGREENS 00649
  • Facility Address: 3701 S HOWELL AVE
    MILWAUKEE, WI
    ZIP 53207
  • Facility Phone: 414 482-1470
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY D. MUELLER
  • NPI Number: 1972989861
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2013111
LAB Type Pharmacy
Facility Name WALGREENS 00649
Street 3701 S HOWELL AVE
City MILWAUKEE
State WI
ZIP 53207
Phone 414 482-1470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director ASHLEY D. MUELLER

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