52D2225749 CLIA NUMBER - WALGREENS #10584

Laboratory Demographics

  • CLIA Code: 52D2225749
  • Facility Name: WALGREENS #10584
  • Facility Address: 680 MILWAUKEE AVE
    BURLINGTON, WI
    ZIP 53105
  • Facility Phone: 262 767-0697
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNAMARIE L. KUCERA
  • NPI Number: 1518178391
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2225749
LAB Type Pharmacy
Facility Name WALGREENS #10584
Street 680 MILWAUKEE AVE
City BURLINGTON
State WI
ZIP 53105
Phone 262 767-0697
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 ANNAMARIE L. KUCERA

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