52D2053577 CLIA NUMBER - WALGREENS #4556

Laboratory Demographics

  • CLIA Code: 52D2053577
  • Facility Name: WALGREENS #4556
  • Facility Address: 6210 W LOOMIS RD
    GREENDALE, WI
    ZIP 53129
  • Facility Phone: 414 423-1485
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ANDREW M. WESOLOWSKI
  • NPI Number: 1093720153
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2053577
LAB Type Pharmacy
Facility Name WALGREENS #4556
Street 6210 W LOOMIS RD
City GREENDALE
State WI
ZIP 53129
Phone 414 423-1485
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Pharmacy
Lab Director DR. ANDREW M. WESOLOWSKI

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