52D2015158 CLIA NUMBER - WALGREENS #03498

Laboratory Demographics

  • CLIA Code: 52D2015158
  • Facility Name: WALGREENS #03498
  • Facility Address: 900 WEST AVE S
    LA CROSSE, WI
    ZIP 54601
  • Facility Phone: 608 796-2058
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGAN K. BORRIES
  • NPI Number: 1568477461
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2015158
LAB Type Pharmacy
Facility Name WALGREENS #03498
Street 900 WEST AVE S
City LA CROSSE
State WI
ZIP 54601
Phone 608 796-2058
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 MEGAN K. BORRIES

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