52D2257207 CLIA NUMBER - WALMART PHARMACY 10-3488

Laboratory Demographics

  • CLIA Code: 52D2257207
  • Facility Name: WALMART PHARMACY 10-3488
  • Facility Address: 1901 MILWAUKEE AVE
    BURLINGTON, WI
    ZIP 53105
  • Facility Phone: 920 459-9470
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH SCHOPP
  • NPI Number: 1427075597
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2257207
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3488
Street 1901 MILWAUKEE AVE
City BURLINGTON
State WI
ZIP 53105
Phone 920 459-9470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Pharmacy
Lab Director SARAH SCHOPP

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