52D2015342 CLIA NUMBER - WALGREENS 05600

Laboratory Demographics

  • CLIA Code: 52D2015342
  • Facility Name: WALGREENS 05600
  • Facility Address: 351 N EDWARDS BLVD
    LAKE GENEVA, WI
    ZIP 53147
  • Facility Phone: 262 248-7885
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VANESSA BELLEI
  • NPI Number: 1902811805
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2015342
LAB Type Pharmacy
Facility Name WALGREENS 05600
Street 351 N EDWARDS BLVD
City LAKE GENEVA
State WI
ZIP 53147
Phone 262 248-7885
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director VANESSA BELLEI

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