52D2217912 CLIA NUMBER - WALGREENS #07730

Laboratory Demographics

CLIA Number: 52D2217912

Facility Name: WALGREENS #07730

Facility Address:
2700 N GRANDVIEW BLVD
WAUKESHA, WI
ZIP 53188
Get Directions

Facility Phone Number: 262 542-2003

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1417964305

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	52D2217912
LAB Type	Pharmacy
Facility Name	WALGREENS #07730
Street	2700 N GRANDVIEW BLVD
City	WAUKESHA
State	WI
ZIP	53188
Phone	262 542-2003
CertificateType	4
CertificateEffectiveDate	3/24/2023
CertificateExpirationDate	3/23/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024