52D2058843 CLIA NUMBER - WALGREENS #07882

Laboratory Demographics

  • CLIA Code: 52D2058843
  • Facility Name: WALGREENS #07882
  • Facility Address: 603 W PINE ST
    BARABOO, WI
    ZIP 53913
  • Facility Phone: 608 356-1171
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. TERESE M. LEMKE
  • NPI Number: 1376558270
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2058843
LAB Type Pharmacy
Facility Name WALGREENS #07882
Street 603 W PINE ST
City BARABOO
State WI
ZIP 53913
Phone 608 356-1171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Pharmacy
Lab Director MS. TERESE M. LEMKE

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