52D2028268 CLIA NUMBER - WALGREENS 03253

Laboratory Demographics

  • CLIA Code: 52D2028268
  • Facility Name: WALGREENS 03253
  • Facility Address: 2204 UNIVERSITY AVE
    GREEN BAY, WI
    ZIP 54302
  • Facility Phone: 920 469-5516
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY L. HUEBNER
  • NPI Number: 1366459307
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2028268
LAB Type Pharmacy
Facility Name WALGREENS 03253
Street 2204 UNIVERSITY AVE
City GREEN BAY
State WI
ZIP 54302
Phone 920 469-5516
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 AMY L. HUEBNER

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