52D2218938 CLIA NUMBER - WALGREENS #10554

Laboratory Demographics

  • CLIA Code: 52D2218938
  • Facility Name: WALGREENS #10554
  • Facility Address: 4605 LARSON BEACH RD
    MC FARLAND, WI
    ZIP 53558
  • Facility Phone: 608 838-6829
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AASHU A. PATEL
  • NPI Number: 1538368311
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2218938
LAB Type Pharmacy
Facility Name WALGREENS #10554
Street 4605 LARSON BEACH RD
City MC FARLAND
State WI
ZIP 53558
Phone 608 838-6829
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 AASHU A. PATEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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