24D0976670 CLIA NUMBER - WALGREENS #04394

Laboratory Demographics

  • CLIA Code: 24D0976670
  • Facility Name: WALGREENS #04394
  • Facility Address: 9800 LYNDALE AVE S
    BLOOMINGTON, MN
    ZIP 55420
  • Facility Phone: 952 884-8246
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH NGUYEN
  • NPI Number: 1780690370
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type Pharmacy
Lab Director JOSEPH NGUYEN

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This page was last updated on: 9/29/2025