24D2007699 CLIA NUMBER - WALGREENS #09728

Laboratory Demographics

  • CLIA Code: 24D2007699
  • Facility Name: WALGREENS #09728
  • Facility Address: 600 W 79TH ST
    CHANHASSEN, MN
    ZIP 55317
  • Facility Phone: 952 252-1084
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PREETI S. AJMANI
  • NPI Number: 1659386886
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2007699
LAB Type Pharmacy
Facility Name WALGREENS #09728
Street 600 W 79TH ST
City CHANHASSEN
State MN
ZIP 55317
Phone 952 252-1084
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Pharmacy
Lab Director PREETI S. AJMANI

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