24D2007693 CLIA NUMBER - WALGREENS #11419

Home > CLIA Lookup > 24D2007693

Laboratory Demographics

CLIA Number: 24D2007693

Facility Name: WALGREENS #11419

Facility Address:
950 COUNTY ROAD 42 W
BURNSVILLE, MN
ZIP 55337
Get Directions

Facility Phone Number: 952 892-7777

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1588897060

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	24D2007693
LAB Type	Pharmacy
Facility Name	WALGREENS #11419
Street	950 COUNTY ROAD 42 W
City	BURNSVILLE
State	MN
ZIP	55337
Phone	952 892-7777
CertificateType	4
CertificateEffectiveDate	1/26/2023
CertificateExpirationDate	1/25/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024