52D2217549 CLIA NUMBER - WALGREENS #10585

Laboratory Demographics

  • CLIA Code: 52D2217549
  • Facility Name: WALGREENS #10585
  • Facility Address: 1047 N MAIN ST
    RIVER FALLS, WI
    ZIP 54022
  • Facility Phone: 715 426-4089
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. JEB A. WILSON
  • NPI Number: 1063537876
  • Taxonomy: 333600000X - Pharmacy

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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
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 DR. JEB A. WILSON

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