52D2215680 CLIA NUMBER - WALGREENS #03393

Laboratory Demographics

  • CLIA Code: 52D2215680
  • Facility Name: WALGREENS #03393
  • Facility Address: 108 COTTAGE GROVE ROAD
    MADISON, WI
    ZIP 53716
  • Facility Phone: (608) 222-8651
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CLARE A. RUSSELL
  • NPI Number: 1639184799
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2215680
LAB Type Pharmacy
Facility Name WALGREENS #03393
Street 108 COTTAGE GROVE ROAD
City MADISON
State WI
ZIP 53716
Phone 6082228651
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Pharmacy
Lab Director CLARE A. RUSSELL

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This page was last updated on: 5/18/2026