52D2218454 CLIA NUMBER - WALGREENS #07966

Laboratory Demographics

  • CLIA Code: 52D2218454
  • Facility Name: WALGREENS #07966
  • Facility Address: 849 WOODWARD AVE
    CHIPPEWA FALLS, WI
    ZIP 54729
  • Facility Phone: 715 726-8540
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROSS LARSON
  • NPI Number: 1154336238
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2218454
LAB Type Pharmacy
Facility Name WALGREENS #07966
Street 849 WOODWARD AVE
City CHIPPEWA FALLS
State WI
ZIP 54729
Phone 715 726-8540
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 ROSS LARSON

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