52D2015311 CLIA NUMBER - WALGREENS #03732

Laboratory Demographics

  • CLIA Code: 52D2015311
  • Facility Name: WALGREENS #03732
  • Facility Address: 2985 S CHICAGO AVE
    SOUTH MILWAUKEE, WI
    ZIP 53172
  • Facility Phone: 414 762-9653
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY CASTALDO
  • NPI Number: 1568477453
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2015311
LAB Type Pharmacy
Facility Name WALGREENS #03732
Street 2985 S CHICAGO AVE
City SOUTH MILWAUKEE
State WI
ZIP 53172
Phone 414 762-9653
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Pharmacy
Lab Director KELLY CASTALDO

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