52D2218555 CLIA NUMBER - WALGREENS #11235

Laboratory Demographics

  • CLIA Code: 52D2218555
  • Facility Name: WALGREENS #11235
  • Facility Address: 1740 CENTER AVE
    JANESVILLE, WI
    ZIP 53546
  • Facility Phone: 608 757-1261
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. COLETTA
  • NPI Number: 1346431327
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2218555
LAB Type Pharmacy
Facility Name WALGREENS #11235
Street 1740 CENTER AVE
City JANESVILLE
State WI
ZIP 53546
Phone 608 757-1261
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 MICHAEL A. COLETTA

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