52D2225654 CLIA NUMBER - WALGREENS #07635

Laboratory Demographics

  • CLIA Code: 52D2225654
  • Facility Name: WALGREENS #07635
  • Facility Address: 808 S DULUTH AVE
    STURGEON BAY, WI
    ZIP 54235
  • Facility Phone: 920 746-5245
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS J. RYDZEWSKI
  • NPI Number: 1073528147
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2225654
LAB Type Pharmacy
Facility Name WALGREENS #07635
Street 808 S DULUTH AVE
City STURGEON BAY
State WI
ZIP 54235
Phone 920 746-5245
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Pharmacy
Lab Director THOMAS J. RYDZEWSKI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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