52D2218876 CLIA NUMBER - WALGREENS #07519

Laboratory Demographics

  • CLIA Code: 52D2218876
  • Facility Name: WALGREENS #07519
  • Facility Address: 1705 US HIGHWAY 51 AND 138
    STOUGHTON, WI
    ZIP 53589
  • Facility Phone: 608 873-7612
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SKYLER THOMAS
  • NPI Number: 1891700969
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2218876
LAB Type Pharmacy
Facility Name WALGREENS #07519
Street 1705 US HIGHWAY 51 AND 138
City STOUGHTON
State WI
ZIP 53589
Phone 608 873-7612
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Pharmacy
Lab Director SKYLER THOMAS

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