52D2221680 CLIA NUMBER - WALGREENS #10682

Laboratory Demographics

  • CLIA Code: 52D2221680
  • Facility Name: WALGREENS #10682
  • Facility Address: 109 N MARQUETTE RD
    PRAIRIE DU CHIEN, WI
    ZIP 53821
  • Facility Phone: 608 326-0581
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELSEY M. HUBER
  • NPI Number: 1083796429
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2221680
LAB Type Pharmacy
Facility Name WALGREENS #10682
Street 109 N MARQUETTE RD
City PRAIRIE DU CHIEN
State WI
ZIP 53821
Phone 608 326-0581
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Pharmacy
Lab Director KELSEY M. HUBER

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