52D2213199 CLIA NUMBER - WALGREENS #15020

Laboratory Demographics

  • CLIA Code: 52D2213199
  • Facility Name: WALGREENS #15020
  • Facility Address: 7130 S 76TH ST
    FRANKLIN, WI
    ZIP 53132
  • Facility Phone: 414 425-0411
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. MARK REIKOWSKI
  • NPI Number: 1295742195
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2213199
LAB Type Pharmacy
Facility Name WALGREENS #15020
Street 7130 S 76TH ST
City FRANKLIN
State WI
ZIP 53132
Phone 414 425-0411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Pharmacy
Lab Director DR. MARK REIKOWSKI

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