52D2218448 CLIA NUMBER - WALGREENS #05935

Laboratory Demographics

  • CLIA Code: 52D2218448
  • Facility Name: WALGREENS #05935
  • Facility Address: 25401 75TH ST
    SALEM, WI
    ZIP 53168
  • Facility Phone: 262 843-1550
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOE WALKER
  • NPI Number: 1447265517
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2218448
LAB Type Pharmacy
Facility Name WALGREENS #05935
Street 25401 75TH ST
City SALEM
State WI
ZIP 53168
Phone 262 843-1550
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 JOE WALKER

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