24D2007694 CLIA NUMBER - WALGREENS #10188

Laboratory Demographics

  • CLIA Code: 24D2007694
  • Facility Name: WALGREENS #10188
  • Facility Address: 1615 QUEENS DR
    WOODBURY, MN
    ZIP 55125
  • Facility Phone: 651 731-4778
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN R. WEHLANDER
  • NPI Number: 1376561308
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2007694
LAB Type Pharmacy
Facility Name WALGREENS #10188
Street 1615 QUEENS DR
City WOODBURY
State MN
ZIP 55125
Phone 651 731-4778
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Pharmacy
Lab Director RYAN R. WEHLANDER

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