52D2013213 CLIA NUMBER - WALGREENS #02927

Laboratory Demographics

  • CLIA Code: 52D2013213
  • Facility Name: WALGREENS #02927
  • Facility Address: 4810 WASHINGTON AVE
    RACINE, WI
    ZIP 53406
  • Facility Phone: 262 635-0181
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARLY LANHARDT
  • NPI Number: 1689689739
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2013213
LAB Type Pharmacy
Facility Name WALGREENS #02927
Street 4810 WASHINGTON AVE
City RACINE
State WI
ZIP 53406
Phone 262 635-0181
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 CARLY LANHARDT

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