52D2225588 CLIA NUMBER - WALGREENS #02921

Laboratory Demographics

  • CLIA Code: 52D2225588
  • Facility Name: WALGREENS #02921
  • Facility Address: 1901 S ONEIDA ST
    APPLETON, WI
    ZIP 54915
  • Facility Phone: 920 739-7321
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREA M. GEHRKE
  • NPI Number: 1346255411
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2225588
LAB Type Pharmacy
Facility Name WALGREENS #02921
Street 1901 S ONEIDA ST
City APPLETON
State WI
ZIP 54915
Phone 920 739-7321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Pharmacy
Lab Director ANDREA M. GEHRKE

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