52D2206437 CLIA NUMBER - WALGREENS # 15121

Laboratory Demographics

  • CLIA Code: 52D2206437
  • Facility Name: WALGREENS # 15121
  • Facility Address: 141 CARMICHAEL RD
    HUDSON, WI
    ZIP 54016
  • Facility Phone: 715 381-0183
  • Facility Type: Other - COVID TESTING
  • Facility Type: Waiver
  • Lab Director: MR. NATHAN BAHR
  • NPI Number: 1245598283
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2206437
LAB Type Other - COVID TESTING
Facility Name WALGREENS # 15121
Street 141 CARMICHAEL RD
City HUDSON
State WI
ZIP 54016
Phone 715 381-0183
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Other - COVID TESTING
Lab Director MR. NATHAN BAHR

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