52D2014988 CLIA NUMBER - WALGREENS #06243

Home > CLIA Lookup > 52D2014988

Laboratory Demographics

CLIA Number: 52D2014988

Facility Name: WALGREENS #06243

Facility Address:
5005 DOUGLAS AVE
RACINE, WI
ZIP 53402
Get Directions

Facility Phone Number: 262 639-9241

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1396752341

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	52D2014988
LAB Type	Pharmacy
Facility Name	WALGREENS #06243
Street	5005 DOUGLAS AVE
City	RACINE
State	WI
ZIP	53402
Phone	262 639-9241
CertificateType	4
CertificateEffectiveDate	3/24/2023
CertificateExpirationDate	3/23/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024