52D2222447 CLIA NUMBER - WALGREENS #12498

Laboratory Demographics

  • CLIA Code: 52D2222447
  • Facility Name: WALGREENS #12498
  • Facility Address: 675 S WATER ST
    PLATTEVILLE, WI
    ZIP 53818
  • Facility Phone: (608) 348-7611
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH A. ALLENDORF
  • NPI Number: 1023271665
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2222447
LAB Type Pharmacy
Facility Name WALGREENS #12498
Street 675 S WATER ST
City PLATTEVILLE
State WI
ZIP 53818
Phone 6083487611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Pharmacy
Lab Director SARAH A. ALLENDORF

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This page was last updated on: 5/18/2026