52D2224483 CLIA NUMBER - WALGREENS #05601

Laboratory Demographics

  • CLIA Code: 52D2224483
  • Facility Name: WALGREENS #05601
  • Facility Address: 4730 S 27TH ST
    MILWAUKEE, WI
    ZIP 53221
  • Facility Phone: 414 817-0647
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAJA BADWAN
  • NPI Number: 1457368490
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2224483
LAB Type Pharmacy
Facility Name WALGREENS #05601
Street 4730 S 27TH ST
City MILWAUKEE
State WI
ZIP 53221
Phone 414 817-0647
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Pharmacy
Lab Director SAJA BADWAN

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