52D2206051 CLIA NUMBER - WALGREENS #9066

Laboratory Demographics

  • CLIA Code: 52D2206051
  • Facility Name: WALGREENS #9066
  • Facility Address: 3201 E LAYTON AVE
    CUDAHY, WI
    ZIP 53110
  • Facility Phone: 414 481-8220
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. LEE SANGHS
  • NPI Number: 1265449144
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2206051
LAB Type Pharmacy
Facility Name WALGREENS #9066
Street 3201 E LAYTON AVE
City CUDAHY
State WI
ZIP 53110
Phone 414 481-8220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Pharmacy
Lab Director DR. LEE SANGHS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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