52D2226847 CLIA NUMBER - WISCONSIN CVS PHARMACY, LLC DBA CVS/PHARMACY #10533

Laboratory Demographics

  • CLIA Code: 52D2226847
  • Facility Name: WISCONSIN CVS PHARMACY, LLC DBA CVS/PHARMACY #10533
  • Facility Address: 3915 DURAND AVE
    RACINE, WI
    ZIP 53405
  • Facility Phone: (866) 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER THOMAS
  • NPI Number: 1245615640
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2226847
LAB Type Pharmacy
Facility Name WISCONSIN CVS PHARMACY, LLC DBA CVS/PHARMACY #10533
Street 3915 DURAND AVE
City RACINE
State WI
ZIP 53405
Phone 8663892727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Pharmacy
Lab Director JENNIFER THOMAS

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This page was last updated on: 5/15/2026