Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
52D2217557
|
|
Clinical laboratory number
|
|
Lab Name
|
WALGREENS #09168
|
|
Laboratory Name
|
|
Lab Type
|
Pharmacy
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
608-269-4031
|
|
Laboratory telephone number
|
|
Fax
|
608-269-4062
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
710 W WISCONSIN AVE
|
|
Primary location adress line
|
|
City
|
SPARTA
|
|
Primary location city name
|
|
State
|
WI
|
|
Primary location state name
|
|
Zip
|
54656
|
|
Primary location postal code
|