52D2227999 CLIA NUMBER - WALGREENS #07568

Laboratory Demographics

  • CLIA Code: 52D2227999
  • Facility Name: WALGREENS #07568
  • Facility Address: 5860 S 108TH ST
    HALES CORNERS, WI
    ZIP 53130
  • Facility Phone: 414 529-3222
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER MOBLO
  • NPI Number: 1821003716
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2227999
LAB Type Pharmacy
Facility Name WALGREENS #07568
Street 5860 S 108TH ST
City HALES CORNERS
State WI
ZIP 53130
Phone 414 529-3222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Pharmacy
Lab Director CHRISTOPHER MOBLO

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