52D2287344 CLIA NUMBER - WALGREENS 02925

Laboratory Demographics

  • CLIA Code: 52D2287344
  • Facility Name: WALGREENS 02925
  • Facility Address: 5115 W CAPITOL DR
    MILWAUKEE, WI
    ZIP 53216
  • Facility Phone: 414 444-0506
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEAN D. PECOR
  • NPI Number: 1861407918
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2287344
LAB Type Pharmacy
Facility Name WALGREENS 02925
Street 5115 W CAPITOL DR
City MILWAUKEE
State WI
ZIP 53216
Phone 414 444-0506
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director DEAN D. PECOR

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