CLIA lab

CLIA 52D2240415: Walgreens #05417

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

CLIA number 52D2240415 belongs to Walgreens #05417 in Mount Pleasant, WI.

Certificate of Waiver, effective October 19, 2025, expires October 18, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
October 19, 2025
Certificate expiration
October 18, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 19, 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
52D2240415
Lab name
Walgreens #05417
Address
6125 Durand Ave, Mount Pleasant, WI 53406
Phone
(262) 554-6116
Fax
(262) 554-0087

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 Mount Pleasant, WI

Related

Questions

What is the CLIA number for Walgreens #05417 in Mount Pleasant?

52D2240415, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #05417 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2240415 expire?

The CMS file lists October 18, 2027 as the certificate expiration date; the certificate took effect October 19, 2025.

Try it on your own data today.

Free to start. Most teams are using it the same day.