24D2027314 CLIA NUMBER - WALGREENS #12044

Laboratory Demographics

  • CLIA Code: 24D2027314
  • Facility Name: WALGREENS #12044
  • Facility Address: 8240 FLYING CLOUD DR
    EDEN PRAIRIE, MN
    ZIP 55344
  • Facility Phone: 952 252-1112
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW J. HAAK
  • NPI Number: 1548594385
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Pharmacy
Lab Director MATTHEW J. HAAK

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