52D2224918 CLIA NUMBER - WALGREENS #09839

Laboratory Demographics

  • CLIA Code: 52D2224918
  • Facility Name: WALGREENS #09839
  • Facility Address: 6241 S PACKARD AVE
    CUDAHY, WI
    ZIP 53110
  • Facility Phone: 414 762-9717
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. THOMAS
  • NPI Number: 1295740181
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2224918
LAB Type Pharmacy
Facility Name WALGREENS #09839
Street 6241 S PACKARD AVE
City CUDAHY
State WI
ZIP 53110
Phone 414 762-9717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Pharmacy
Lab Director JENNIFER L. THOMAS

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