CLIA lab
CLIA 52D2220366: Walgreens #11576
Bellevue, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2220366 belongs to Walgreens #11576 in Bellevue, WI.
Certificate of Waiver, effective April 12, 2025, expires April 11, 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
- April 12, 2025
- Certificate expiration
- April 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 12, 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
- 52D2220366
- Lab name
- Walgreens #11576
- Address
- 1979 Lime Kiln Rd, Bellevue, WI 54311
- Phone
- (920) 288-0638
- Fax
- (920) 288-0645
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 #11576 in Bellevue?
52D2220366, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #11576 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2220366 expire?
The CMS file lists April 11, 2027 as the certificate expiration date; the certificate took effect April 12, 2025.