52D2014988 CLIA NUMBER - WALGREENS #06243

Laboratory Demographics

  • CLIA Code: 52D2014988
  • Facility Name: WALGREENS #06243
  • Facility Address: 5005 DOUGLAS AVE
    RACINE, WI
    ZIP 53402
  • Facility Phone: (262) 639-9241
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARGARET J. WIESNER
  • NPI Number: 1396752341
  • Taxonomy: 333600000X - Pharmacy

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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 2626399241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Pharmacy
Lab Director MARGARET J. WIESNER

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This page was last updated on: 5/18/2026