52D2217588 CLIA NUMBER - WALGREENS #10574

Laboratory Demographics

  • CLIA Code: 52D2217588
  • Facility Name: WALGREENS #10574
  • Facility Address: 101 N CENTER AVE
    MERRILL, WI
    ZIP 54452
  • Facility Phone: 715 539-0218
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. AMANDA K. BARKLEY
  • NPI Number: 1538241971
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2217588
LAB Type Pharmacy
Facility Name WALGREENS #10574
Street 101 N CENTER AVE
City MERRILL
State WI
ZIP 54452
Phone 715 539-0218
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. AMANDA K. BARKLEY

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