52D2287445 CLIA NUMBER - WALGREENS 03394

Laboratory Demographics

  • CLIA Code: 52D2287445
  • Facility Name: WALGREENS 03394
  • Facility Address: 9100 W BELOIT RD
    MILWAUKEE, WI
    ZIP 53227
  • Facility Phone: 414 328-1228
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAI LU
  • NPI Number: 1679588727
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2287445
LAB Type Pharmacy
Facility Name WALGREENS 03394
Street 9100 W BELOIT RD
City MILWAUKEE
State WI
ZIP 53227
Phone 414 328-1228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director TAI LU

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