24D2012099 CLIA NUMBER - WALGREENS #06573

Laboratory Demographics

  • CLIA Code: 24D2012099
  • Facility Name: WALGREENS #06573
  • Facility Address: 3470 RIVER RAPIDS DR NW
    COON RAPIDS, MN
    ZIP 55448
  • Facility Phone: 763 427-1156
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY T. NGUYEN
  • NPI Number: 1437165800
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2012099
LAB Type Pharmacy
Facility Name WALGREENS #06573
Street 3470 RIVER RAPIDS DR NW
City COON RAPIDS
State MN
ZIP 55448
Phone 763 427-1156
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Pharmacy
Lab Director KIMBERLY T. NGUYEN

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