52D2287449 CLIA NUMBER - WALGREENS 09514

Laboratory Demographics

  • CLIA Code: 52D2287449
  • Facility Name: WALGREENS 09514
  • Facility Address: 121 PINE AVE W
    MENOMONIE, WI
    ZIP 54751
  • Facility Phone: 715 235-9275
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANTHONY M. SCHUMACHER
  • NPI Number: 1962417048
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2287449
LAB Type Pharmacy
Facility Name WALGREENS 09514
Street 121 PINE AVE W
City MENOMONIE
State WI
ZIP 54751
Phone 715 235-9275
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 ANTHONY M. SCHUMACHER

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