52D2288552 CLIA NUMBER - WALGREENS 11858

Laboratory Demographics

  • CLIA Code: 52D2288552
  • Facility Name: WALGREENS 11858
  • Facility Address: 311 EAST CAMPUS MALL
    MADISON, WI
    ZIP 53715
  • Facility Phone: 608 251-0042
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA L. MILLER
  • NPI Number: 1134388986
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2288552
LAB Type Pharmacy
Facility Name WALGREENS 11858
Street 311 EAST CAMPUS MALL
City MADISON
State WI
ZIP 53715
Phone 608 251-0042
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Pharmacy
Lab Director ANGELA L. MILLER

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