52D2225276 CLIA NUMBER - WALGREENS #13613

Laboratory Demographics

  • CLIA Code: 52D2225276
  • Facility Name: WALGREENS #13613
  • Facility Address: 1933 W COURT ST
    JANESVILLE, WI
    ZIP 53548
  • Facility Phone: 608 755-9805
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE M. MORAN
  • NPI Number: 1396750444
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2225276
LAB Type Pharmacy
Facility Name WALGREENS #13613
Street 1933 W COURT ST
City JANESVILLE
State WI
ZIP 53548
Phone 608 755-9805
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Pharmacy
Lab Director STEPHANIE M. MORAN

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