52D2015807 CLIA NUMBER - WALGREENS #07370

Laboratory Demographics

  • CLIA Code: 52D2015807
  • Facility Name: WALGREENS #07370
  • Facility Address: 6442 N 76TH ST
    MILWAUKEE, WI
    ZIP 53223
  • Facility Phone: 414 353-5620
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE E. PETERSON
  • NPI Number: 1922013812
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2015807
LAB Type Pharmacy
Facility Name WALGREENS #07370
Street 6442 N 76TH ST
City MILWAUKEE
State WI
ZIP 53223
Phone 414 353-5620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2023
Certificate Expiration Date 5/12/2025
Facility Type Pharmacy
Lab Director NICOLE E. PETERSON

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This page was last updated on: 3/20/2025