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52D2220094 CLIA NUMBER - WISCONSIN CVS PHARMACY, LLC DBA CVS/PHARMACY #17570

Laboratory Demographics

CLIA Number: 52D2220094

Facility Name: WISCONSIN CVS PHARMACY, LLC DBA CVS/PHARMACY #17570

Facility Address:
1250 W SUNSET DR
WAUKESHA, WI
ZIP 53189
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1801934807

Taxonomy: 152W00000X - Optometrist
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

CLIA Record

Field Name Field Value
CLIA Number 52D2220094
LAB Type Pharmacy
Facility Name WISCONSIN CVS PHARMACY, LLC DBA CVS/PHARMACY #17570
Street 1250 W SUNSET DR
City WAUKESHA
State WI
ZIP 53189
Phone 401 770-6431
CertificateType 4
CertificateEffectiveDate 4/9/2023
CertificateExpirationDate 4/8/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024