52D2217796 CLIA NUMBER - WALGREENS #11860

Laboratory Demographics

  • CLIA Code: 52D2217796
  • Facility Name: WALGREENS #11860
  • Facility Address: 502 S MAIN ST
    RICE LAKE, WI
    ZIP 54868
  • Facility Phone: 715 736-0120
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. JENNIFER A. SCHINDLER
  • NPI Number: 1154579118
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2217796
LAB Type Pharmacy
Facility Name WALGREENS #11860
Street 502 S MAIN ST
City RICE LAKE
State WI
ZIP 54868
Phone 715 736-0120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Pharmacy
Lab Director DR. JENNIFER A. SCHINDLER

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