52D2015377 CLIA NUMBER - WALGREENS #06885

Laboratory Demographics

  • CLIA Code: 52D2015377
  • Facility Name: WALGREENS #06885
  • Facility Address: 300 STATE HIGHWAY 13
    WISCONSIN DELLS, WI
    ZIP 53965
  • Facility Phone: 608 254-5760
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BONNIE ARBUCKLE
  • NPI Number: 1265447338
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2015377
LAB Type Pharmacy
Facility Name WALGREENS #06885
Street 300 STATE HIGHWAY 13
City WISCONSIN DELLS
State WI
ZIP 53965
Phone 608 254-5760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Pharmacy
Lab Director BONNIE ARBUCKLE

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