52D2289594 CLIA NUMBER - WALGREENS 01200

Laboratory Demographics

  • CLIA Code: 52D2289594
  • Facility Name: WALGREENS 01200
  • Facility Address: 275 W WISCONSIN AVE STE 1108
    MILWAUKEE, WI
    ZIP 53203
  • Facility Phone: 414 273-5426
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GRACE S. CHUNG
  • NPI Number: 1154693331
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2289594
LAB Type Pharmacy
Facility Name WALGREENS 01200
Street 275 W WISCONSIN AVE STE 1108
City MILWAUKEE
State WI
ZIP 53203
Phone 414 273-5426
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Pharmacy
Lab Director GRACE S. CHUNG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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