CLIA lab

CLIA 52D2011919: Walgreens #04240

Madison, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 52D2011919 belongs to Walgreens #04240 in Madison, WI.

Certificate of Waiver, effective October 15, 2025, expires October 14, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
October 15, 2025
Certificate expiration
October 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 25, 2010
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
52D2011919
Lab name
Walgreens #04240
Address
3710 E Washington Ave, Madison, WI 53704
Phone
(608) 242-9483
Fax
(608) 242-9554

Annual test volume the lab reported

Waived tests
12,775

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Walgreens #04240 in Madison?

52D2011919, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #04240 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2011919 expire?

The CMS file lists October 14, 2027 as the certificate expiration date; the certificate took effect October 15, 2025.

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