24D2026221 CLIA NUMBER - WALGREENS #15272

Laboratory Demographics

  • CLIA Code: 24D2026221
  • Facility Name: WALGREENS #15272
  • Facility Address: 1110 LARPENTEUR AVE W
    SAINT PAUL, MN
    ZIP 55113
  • Facility Phone: 651 488-5516
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DOAN T. CHAU
  • NPI Number: 1760497077
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2026221
LAB Type Pharmacy
Facility Name WALGREENS #15272
Street 1110 LARPENTEUR AVE W
City SAINT PAUL
State MN
ZIP 55113
Phone 651 488-5516
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Pharmacy
Lab Director DOAN T. CHAU

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