52D2231111 CLIA NUMBER - WALGREENS #04471

Laboratory Demographics

  • CLIA Code: 52D2231111
  • Facility Name: WALGREENS #04471
  • Facility Address: 9040 W GOOD HOPE RD
    MILWAUKEE, WI
    ZIP 53224
  • Facility Phone: 414 358-1526
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEXANDER A. KAR
  • NPI Number: 1629083795
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2231111
LAB Type Pharmacy
Facility Name WALGREENS #04471
Street 9040 W GOOD HOPE RD
City MILWAUKEE
State WI
ZIP 53224
Phone 414 358-1526
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director ALEXANDER A. KAR

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