52D2231184 CLIA NUMBER - WALGREENS #05466

Laboratory Demographics

  • CLIA Code: 52D2231184
  • Facility Name: WALGREENS #05466
  • Facility Address: 601 MEADOWBROOK RD
    WAUKESHA, WI
    ZIP 53188
  • Facility Phone: 262 549-2356
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GENESIS G. GIRMSCHEID
  • NPI Number: 1538174602
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2231184
LAB Type Pharmacy
Facility Name WALGREENS #05466
Street 601 MEADOWBROOK RD
City WAUKESHA
State WI
ZIP 53188
Phone 262 549-2356
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 GENESIS G. GIRMSCHEID

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