52D2230925 CLIA NUMBER - WALGREENS #10573

Laboratory Demographics

  • CLIA Code: 52D2230925
  • Facility Name: WALGREENS #10573
  • Facility Address: 5702 RAYMOND RD
    MADISON, WI
    ZIP 53711
  • Facility Phone: 608 278-8037
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CONNIE M. NELSON
  • NPI Number: 1164616363
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2230925
LAB Type Pharmacy
Facility Name WALGREENS #10573
Street 5702 RAYMOND RD
City MADISON
State WI
ZIP 53711
Phone 608 278-8037
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Pharmacy
Lab Director CONNIE M. NELSON

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