52D2030427 CLIA NUMBER - WALGREENS #07880

Laboratory Demographics

  • CLIA Code: 52D2030427
  • Facility Name: WALGREENS #07880
  • Facility Address: 421 S EISENHOWER PARKWAY
    RHINELANDER, WI
    ZIP 54501
  • Facility Phone: 715 369-1079
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. JEFFREY L. SEABLOOM
  • NPI Number: 1245245323
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2030427
LAB Type Pharmacy
Facility Name WALGREENS #07880
Street 421 S EISENHOWER PARKWAY
City RHINELANDER
State WI
ZIP 54501
Phone 715 369-1079
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Pharmacy
Lab Director MR. JEFFREY L. SEABLOOM

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