52D2217549 CLIA NUMBER - WALGREENS #10585

Laboratory Demographics

CLIA Number: 52D2217549

Facility Name: WALGREENS #10585

Facility Address:
1047 N MAIN ST
RIVER FALLS, WI
ZIP 54022
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Facility Phone Number: 715 426-4089

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1063537876

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	52D2217549
LAB Type	Pharmacy
Facility Name	WALGREENS #10585
Street	1047 N MAIN ST
City	RIVER FALLS
State	WI
ZIP	54022
Phone	715 426-4089
CertificateType	4
CertificateEffectiveDate	3/22/2023
CertificateExpirationDate	3/21/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024