52D2070729 CLIA NUMBER - WALGREENS #05281

Laboratory Demographics

  • CLIA Code: 52D2070729
  • Facility Name: WALGREENS #05281
  • Facility Address: 2901 GOLF ROAD
    DELAFIELD, WI
    ZIP 53018
  • Facility Phone: 262 646-9095
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROGER A. SMITH
  • NPI Number: 1992710065
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2070729
LAB Type Pharmacy
Facility Name WALGREENS #05281
Street 2901 GOLF ROAD
City DELAFIELD
State WI
ZIP 53018
Phone 262 646-9095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Pharmacy
Lab Director ROGER A. SMITH

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