24D2012495 CLIA NUMBER - WALGREENS #02805

Home > CLIA Lookup > 24D2012495

Laboratory Demographics

CLIA Number: 24D2012495

Facility Name: WALGREENS #02805

Facility Address:
1133 ROBERT ST S
WEST SAINT PAUL, MN
ZIP 55118
Get Directions

Facility Phone Number: 651 455-5590

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1134134448

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	24D2012495
LAB Type	Pharmacy
Facility Name	WALGREENS #02805
Street	1133 ROBERT ST S
City	WEST SAINT PAUL
State	MN
ZIP	55118
Phone	651 455-5590
CertificateType	4
CertificateEffectiveDate	11/4/2023
CertificateExpirationDate	11/3/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024