CLIA lab

CLIA 52D2023444: Walgreens #04887

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

CLIA number 52D2023444 belongs to Walgreens #04887 in Oak Creek, WI.

Certificate of Waiver, effective May 14, 2025, expires May 13, 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
May 14, 2025
Certificate expiration
May 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 25, 2011
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
52D2023444
Lab name
Walgreens #04887
Address
9449 S Howell Ave, Oak Creek, WI 53154
Phone
(414) 764-8980
Fax
(414) 764-1289

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.

Other labs in Oak Creek, WI

Related

Questions

What is the CLIA number for Walgreens #04887 in Oak Creek?

52D2023444, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #04887 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2023444 expire?

The CMS file lists May 13, 2027 as the certificate expiration date; the certificate took effect May 14, 2025.

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