52D2217654 CLIA NUMBER - WALGREENS #07437

Laboratory Demographics

  • CLIA Code: 52D2217654
  • Facility Name: WALGREENS #07437
  • Facility Address: 3825 DURNAD AVE
    RACINE, WI
    ZIP 53405
  • Facility Phone: 262 554-8686
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN P. STANKEVICH
  • NPI Number: 1194730085
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2217654
LAB Type Pharmacy
Facility Name WALGREENS #07437
Street 3825 DURNAD AVE
City RACINE
State WI
ZIP 53405
Phone 262 554-8686
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Pharmacy
Lab Director RYAN P. STANKEVICH

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