52D2217546 CLIA NUMBER - WALGREENS #01158

Laboratory Demographics

  • CLIA Code: 52D2217546
  • Facility Name: WALGREENS #01158
  • Facility Address: 900 1ST ST
    WOODRUFF, WI
    ZIP 54568
  • Facility Phone: 715 358-7084
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAN P. OHAGAN
  • NPI Number: 1952316036
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2217546
LAB Type Pharmacy
Facility Name WALGREENS #01158
Street 900 1ST ST
City WOODRUFF
State WI
ZIP 54568
Phone 715 358-7084
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Pharmacy
Lab Director DAN P. OHAGAN

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