24D2011186 CLIA NUMBER - WALGREENS #03187

Laboratory Demographics

  • CLIA Code: 24D2011186
  • Facility Name: WALGREENS #03187
  • Facility Address: 1075 HIGHWAY 96 E
    VADNAIS HEIGHTS, MN
    ZIP 55127
  • Facility Phone: 651 426-9225
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARK T. SCHIFFMANN
  • NPI Number: 1750396073
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2011186
LAB Type Pharmacy
Facility Name WALGREENS #03187
Street 1075 HIGHWAY 96 E
City VADNAIS HEIGHTS
State MN
ZIP 55127
Phone 651 426-9225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Pharmacy
Lab Director MARK T. SCHIFFMANN

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