24D2022607 CLIA NUMBER - WALGREENS #07388

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Laboratory Demographics

CLIA Number: 24D2022607

Facility Name: WALGREENS #07388

Facility Address:
1665 WHITE BEAR AVENUE NORTH
SAINT PAUL, MN
ZIP 55106
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Facility Phone Number: 847 527-4238

Facility Type: Other - COVID 19 TEST SITE

Certificate Type: Waiver

NPI Number: 1023024668

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	24D2022607
LAB Type	Other - COVID 19 TEST SITE
Facility Name	WALGREENS #07388
Street	1665 WHITE BEAR AVENUE NORTH
City	SAINT PAUL
State	MN
ZIP	55106
Phone	847 527-4238
CertificateType	4
CertificateEffectiveDate	5/28/2022
CertificateExpirationDate	5/27/2024
FacilityType	Waiver

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