52D2239859 CLIA NUMBER - WALGREENS #12524

Laboratory Demographics

  • CLIA Code: 52D2239859
  • Facility Name: WALGREENS #12524
  • Facility Address: 6020 W BROWN DEER RD
    BROWN DEER, WI
    ZIP 53223
  • Facility Phone: 414 365-3608
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAZEN SEDDICK
  • NPI Number: 1306002548
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2239859
LAB Type Pharmacy
Facility Name WALGREENS #12524
Street 6020 W BROWN DEER RD
City BROWN DEER
State WI
ZIP 53223
Phone 414 365-3608
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type Pharmacy
Lab Director MAZEN SEDDICK

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