52D2217587 CLIA NUMBER - WALGREENS #10555

Laboratory Demographics

  • CLIA Code: 52D2217587
  • Facility Name: WALGREENS #10555
  • Facility Address: 2010 BRANCH ST
    MADISON, WI
    ZIP 53562
  • Facility Phone: 608 831-6548
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. CAROLYN L. STARR
  • NPI Number: 1801934260
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2217587
LAB Type Physician Office
Facility Name WALGREENS #10555
Street 2010 BRANCH ST
City MADISON
State WI
ZIP 53562
Phone 608 831-6548
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 Physician Office
Lab Director MS. CAROLYN L. STARR

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This page was last updated on: 3/20/2025