CLIA lab
CLIA 52D2217848: Walgreens #03104
Manitowoc, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2217848 belongs to Walgreens #03104 in Manitowoc, WI.
Certificate of Waiver, effective March 24, 2025, expires March 23, 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 24, 2025
- Certificate expiration
- March 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 24, 2021
- 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
- 52D2217848
- Lab name
- Walgreens #03104
- Address
- 2702 Calumet Ave, Manitowoc, WI 54220
- Phone
- (920) 683-8887
- Fax
- (920) 683-1216
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 Manitowoc, WI
- Amg Manitowoc 3509 DeweyCertificate of Waiver, Physician office52D2287247
- Amg Manitowoc 4100 DeweyCertificate of Waiver, Physician office52D0963259
- Angelus Village of Manitowoc, LLCCertificate of Waiver, Assisted living facility52D2203592
- Aurora Baycare UrologyCertificate of Waiver, Physician office52D0967225
- Baycare Clinic, LLPCertificate of Waiver, Physician office52D1053145
- Baycare Clinic, LLPCertificate of Waiver, Physician office52D2090134
- Bellin Health FMC ManitowocCertificate of Compliance, Physician office52D1097053
- Care Partners Assisted LivingCertificate of Waiver, Assisted living facility52D1087764
- Dimensions Living ManitowocCertificate of Waiver, Assisted living facility52D1018315
- Forefront Dermatology, SCCertificate of Compliance, Physician office52D0702189
Related
Questions
What is the CLIA number for Walgreens #03104 in Manitowoc?
52D2217848, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #03104 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2217848 expire?
The CMS file lists March 23, 2027 as the certificate expiration date; the certificate took effect March 24, 2025.