52D2219538 CLIA NUMBER - WALGREENS #01937

Laboratory Demographics

  • CLIA Code: 52D2219538
  • Facility Name: WALGREENS #01937
  • Facility Address: 1106 W CLAIREMONT AVE
    EAU CLAIRE, WI
    ZIP 54701
  • Facility Phone: 715 852-0063
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASEN L. MYERS
  • NPI Number: 1588671531
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2219538
LAB Type Pharmacy
Facility Name WALGREENS #01937
Street 1106 W CLAIREMONT AVE
City EAU CLAIRE
State WI
ZIP 54701
Phone 715 852-0063
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director JASEN L. MYERS

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