52D2239873 CLIA NUMBER - WALGREENS #06960

Laboratory Demographics

  • CLIA Code: 52D2239873
  • Facility Name: WALGREENS #06960
  • Facility Address: 1400 E SUMNER ST
    HARTFORD, WI
    ZIP 53027
  • Facility Phone: 262 670-1137
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PETER M. CYPERT
  • NPI Number: 1619982782
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2239873
LAB Type Pharmacy
Facility Name WALGREENS #06960
Street 1400 E SUMNER ST
City HARTFORD
State WI
ZIP 53027
Phone 262 670-1137
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 PETER M. CYPERT

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