52D2217563 CLIA NUMBER - WALGREENS #05669

Laboratory Demographics

  • CLIA Code: 52D2217563
  • Facility Name: WALGREENS #05669
  • Facility Address: 401 W MAIN ST
    WAUNAKEE, WI
    ZIP 53597
  • Facility Phone: (608) 850-6203
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEA T. KRAUS
  • NPI Number: 1174538235
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2217563
LAB Type Pharmacy
Facility Name WALGREENS #05669
Street 401 W MAIN ST
City WAUNAKEE
State WI
ZIP 53597
Phone 6088506203
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 LEA T. KRAUS

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