24D2012100 CLIA NUMBER - WALGREENS #03101

Laboratory Demographics

  • CLIA Code: 24D2012100
  • Facility Name: WALGREENS #03101
  • Facility Address: 2505 WEST DIVISION STREET
    SAINT CLOUD, MN
    ZIP 56301
  • Facility Phone: 320 251-9433
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARK M. HALBKAT
  • NPI Number: 1326053638
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2012100
LAB Type Pharmacy
Facility Name WALGREENS #03101
Street 2505 WEST DIVISION STREET
City SAINT CLOUD
State MN
ZIP 56301
Phone 320 251-9433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Pharmacy
Lab Director MARK M. HALBKAT

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