24D2027314 CLIA NUMBER - WALGREENS #12044

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Laboratory Demographics

CLIA Number: 24D2027314

Facility Name: WALGREENS #12044

Facility Address:
8240 FLYING CLOUD DR
EDEN PRAIRIE, MN
ZIP 55344
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Facility Phone Number: 952 252-1112

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1548594385

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	24D2027314
LAB Type	Pharmacy
Facility Name	WALGREENS #12044
Street	8240 FLYING CLOUD DR
City	EDEN PRAIRIE
State	MN
ZIP	55344
Phone	952 252-1112
CertificateType	4
CertificateEffectiveDate	5/25/2023
CertificateExpirationDate	5/24/2025
FacilityType	Waiver

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