24D2007693 CLIA NUMBER - WALGREENS #11419

Laboratory Demographics

  • CLIA Code: 24D2007693
  • Facility Name: WALGREENS #11419
  • Facility Address: 950 COUNTY ROAD 42 W
    BURNSVILLE, MN
    ZIP 55337
  • Facility Phone: 952 892-7777
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CALEB GRIFFITH
  • NPI Number: 1588897060
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Pharmacy
Lab Director CALEB GRIFFITH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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