52D2214839 CLIA NUMBER - WALGREENS #10196

Laboratory Demographics

  • CLIA Code: 52D2214839
  • Facility Name: WALGREENS #10196
  • Facility Address: 6600 W STATE STREET
    WAUWATOSA, WI
    ZIP 53213
  • Facility Phone: 414 476-5585
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BROCK WEHLING
  • NPI Number: 1437165875
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2214839
LAB Type Pharmacy
Facility Name WALGREENS #10196
Street 6600 W STATE STREET
City WAUWATOSA
State WI
ZIP 53213
Phone 414 476-5585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Pharmacy
Lab Director BROCK WEHLING

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