52D2015810 CLIA NUMBER - WALGREENS #04350

Laboratory Demographics

  • CLIA Code: 52D2015810
  • Facility Name: WALGREENS #04350
  • Facility Address: 3333 S 27TH ST
    MILWAUKEE, WI
    ZIP 53215
  • Facility Phone: 414 671-3660
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FANG Z. HNANG
  • NPI Number: 1679580625
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2015810
LAB Type Pharmacy
Facility Name WALGREENS #04350
Street 3333 S 27TH ST
City MILWAUKEE
State WI
ZIP 53215
Phone 414 671-3660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Pharmacy
Lab Director FANG Z. HNANG

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