52D2215683 CLIA NUMBER - WALGREENS #07536

Laboratory Demographics

  • CLIA Code: 52D2215683
  • Facility Name: WALGREENS #07536
  • Facility Address: 8302 OLD SAUK ROAD
    MIDDLETON, WI
    ZIP 53562
  • Facility Phone: 608 833-2373
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER STASIEWSKI
  • NPI Number: 1427063502
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2215683
LAB Type Pharmacy
Facility Name WALGREENS #07536
Street 8302 OLD SAUK ROAD
City MIDDLETON
State WI
ZIP 53562
Phone 608 833-2373
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 CHRISTOPHER STASIEWSKI

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