52D2218395 CLIA NUMBER - WALGREENS #01159

Laboratory Demographics

  • CLIA Code: 52D2218395
  • Facility Name: WALGREENS #01159
  • Facility Address: 104 N MAIN ST
    VERONA, WI
    ZIP 53593
  • Facility Phone: 608 848-7154
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HUGH ZUENGLER
  • NPI Number: 1699780775
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2218395
LAB Type Pharmacy
Facility Name WALGREENS #01159
Street 104 N MAIN ST
City VERONA
State WI
ZIP 53593
Phone 608 848-7154
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Pharmacy
Lab Director HUGH ZUENGLER

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