CLIA lab

CLIA 52D2059520: Walgreens #09740

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

CLIA number 52D2059520 belongs to Walgreens #09740 in De Forest, WI.

Certificate of Waiver, effective March 26, 2025, expires March 25, 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
March 26, 2025
Certificate expiration
March 25, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 24, 2013
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
52D2059520
Lab name
Walgreens #09740
Address
807 S Main St, De Forest, WI 53532
Phone
(608) 846-3671
Fax
(608) 846-3684

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 De Forest, WI

Related

Questions

What is the CLIA number for Walgreens #09740 in De Forest?

52D2059520, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #09740 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2059520 expire?

The CMS file lists March 25, 2027 as the certificate expiration date; the certificate took effect March 26, 2025.

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