52D2217579 CLIA NUMBER - WALGREENS #09214

Laboratory Demographics

  • CLIA Code: 52D2217579
  • Facility Name: WALGREENS #09214
  • Facility Address: 2626 ROSE CT
    LA CROSSE, WI
    ZIP 54603
  • Facility Phone: 920 893-5895
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN S. WERNER
  • NPI Number: 1326053406
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2217579
LAB Type Pharmacy
Facility Name WALGREENS #09214
Street 2626 ROSE CT
City LA CROSSE
State WI
ZIP 54603
Phone 920 893-5895
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 RYAN S. WERNER

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