52D2015333 CLIA NUMBER - WALGREENS 05002

Laboratory Demographics

  • CLIA Code: 52D2015333
  • Facility Name: WALGREENS 05002
  • Facility Address: N83W15701 APPLETON AVE
    MENOMONEE FALLS, WI
    ZIP 53051
  • Facility Phone: 262 251-3890
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TABARIUS L. SMITH
  • NPI Number: 1700893682
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2015333
LAB Type Pharmacy
Facility Name WALGREENS 05002
Street N83W15701 APPLETON AVE
City MENOMONEE FALLS
State WI
ZIP 53051
Phone 262 251-3890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director TABARIUS L. SMITH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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