52D2218308 CLIA NUMBER - WALGREENS #12638

Laboratory Demographics

  • CLIA Code: 52D2218308
  • Facility Name: WALGREENS #12638
  • Facility Address: 1041 W MAIN ST
    WHITEWATER, WI
    ZIP 53190
  • Facility Phone: 262 472-0238
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARGARET FRANK
  • NPI Number: 1245488139
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2218308
LAB Type Pharmacy
Facility Name WALGREENS #12638
Street 1041 W MAIN ST
City WHITEWATER
State WI
ZIP 53190
Phone 262 472-0238
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 MARGARET FRANK

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