52D2212703 CLIA NUMBER - WALGREENS #10873

Laboratory Demographics

  • CLIA Code: 52D2212703
  • Facility Name: WALGREENS #10873
  • Facility Address: 2950 N OAKLAND AVE
    MILWAUKEE, WI
    ZIP 53211
  • Facility Phone: 414 332-1901
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATELYN E. ZIMMERMAN
  • NPI Number: 1508873498
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2212703
LAB Type Pharmacy
Facility Name WALGREENS #10873
Street 2950 N OAKLAND AVE
City MILWAUKEE
State WI
ZIP 53211
Phone 414 332-1901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Pharmacy
Lab Director KATELYN E. ZIMMERMAN

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This page was last updated on: 6/4/2025