52D2231114 CLIA NUMBER - WALGREENS #04253

Laboratory Demographics

  • CLIA Code: 52D2231114
  • Facility Name: WALGREENS #04253
  • Facility Address: 2656 N WAUWATOSA AVE
    WAUWATOSA, WI
    ZIP 53213
  • Facility Phone: 414 453-9630
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. MARGARET D. LEDOUX
  • NPI Number: 1912912809
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2231114
LAB Type Pharmacy
Facility Name WALGREENS #04253
Street 2656 N WAUWATOSA AVE
City WAUWATOSA
State WI
ZIP 53213
Phone 414 453-9630
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 MS. MARGARET D. LEDOUX

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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