52D2182837 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

  • CLIA Code: 52D2182837
  • Facility Name: WALGREEN CO
  • Facility Address: 1433 W BURNHAM ST
    MILWAUKEE, WI
    ZIP 53204
  • Facility Phone: 414 672-3017
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: MOHAMMED ELGHANNAM
  • NPI Number: 1346437548
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2182837
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREEN CO
Street 1433 W BURNHAM ST
City MILWAUKEE
State WI
ZIP 53204
Phone 414 672-3017
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director MOHAMMED ELGHANNAM

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