24D0976670 CLIA NUMBER - WALGREENS #04394

Laboratory Demographics

CLIA Number: 24D0976670

Facility Name: WALGREENS #04394

Facility Address:
9800 LYNDALE AVE S
BLOOMINGTON, MN
ZIP 55420
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Facility Phone Number: (952) 884-8246

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1780690370

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	24D0976670
LAB Type	PHARMACY
Facility Name	WALGREENS #04394
Street	9800 LYNDALE AVE S
City	BLOOMINGTON
State	MN
ZIP	55420
Phone	(952) 884-8246

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This page was last updated on: 5/11/2023