52D2081748 CLIA NUMBER - WALGREENS #15916

Laboratory Demographics

  • CLIA Code: 52D2081748
  • Facility Name: WALGREENS #15916
  • Facility Address: 1060 E JOHNSON ST
    FOND DU LAC, WI
    ZIP 54935
  • Facility Phone: 920 266-4323
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATHAN J. SCHNEIDER
  • NPI Number: 1518377720
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2081748
LAB Type Pharmacy
Facility Name WALGREENS #15916
Street 1060 E JOHNSON ST
City FOND DU LAC
State WI
ZIP 54935
Phone 920 266-4323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Pharmacy
Lab Director NATHAN J. SCHNEIDER

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