24D2027312 CLIA NUMBER - WALGREENS #04697

Laboratory Demographics

  • CLIA Code: 24D2027312
  • Facility Name: WALGREENS #04697
  • Facility Address: 6525 UNIVERSITY AVE NE
    FRIDLEY, MN
    ZIP 55432
  • Facility Phone: (952) 221-0926
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: LORIE REED
  • NPI Number: 1487669701
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2027312
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREENS #04697
Street 6525 UNIVERSITY AVE NE
City FRIDLEY
State MN
ZIP 55432
Phone 9522210926
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Other - COVID 19 TEST SITE
Lab Director LORIE REED

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This page was last updated on: 5/18/2026