52D2217584 CLIA NUMBER - WALGREENS 10301

Laboratory Demographics

  • CLIA Code: 52D2217584
  • Facility Name: WALGREENS 10301
  • Facility Address: 517 N MAIN ST
    VIROQUA, WI
    ZIP 54665
  • Facility Phone: 608 637-8405
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. JENNIFER R. ROBSON
  • NPI Number: 1104872407
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2217584
LAB Type Pharmacy
Facility Name WALGREENS 10301
Street 517 N MAIN ST
City VIROQUA
State WI
ZIP 54665
Phone 608 637-8405
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. JENNIFER R. ROBSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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