24D2030784 CLIA NUMBER - WALGREENS 05635

Laboratory Demographics

  • CLIA Code: 24D2030784
  • Facility Name: WALGREENS 05635
  • Facility Address: 340 W WASHINGTON ST
    BRAINERD, MN
    ZIP 56401
  • Facility Phone: 218 825-0027
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TARYN J. NEUBAUER
  • NPI Number: 1841205069
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2030784
LAB Type Pharmacy
Facility Name WALGREENS 05635
Street 340 W WASHINGTON ST
City BRAINERD
State MN
ZIP 56401
Phone 218 825-0027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director TARYN J. NEUBAUER

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