52D2218247 CLIA NUMBER - WALGREENS #03392

Laboratory Demographics

  • CLIA Code: 52D2218247
  • Facility Name: WALGREENS #03392
  • Facility Address: 500 S COMMERCIAL ST
    NEENAH, WI
    ZIP 54956
  • Facility Phone: 920 729-1311
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN SCHULTZ
  • NPI Number: 1134134216
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2218247
LAB Type Pharmacy
Facility Name WALGREENS #03392
Street 500 S COMMERCIAL ST
City NEENAH
State WI
ZIP 54956
Phone 920 729-1311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Pharmacy
Lab Director KEVIN SCHULTZ

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