24D2031266 CLIA NUMBER - WALGREENS #09094

Laboratory Demographics

  • CLIA Code: 24D2031266
  • Facility Name: WALGREENS #09094
  • Facility Address: 1420 W OAKLAND AVE
    AUSTIN, MN
    ZIP 55912
  • Facility Phone: 507 396-0197
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH B. MILLER
  • NPI Number: 1487669610
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2031266
LAB Type Pharmacy
Facility Name WALGREENS #09094
Street 1420 W OAKLAND AVE
City AUSTIN
State MN
ZIP 55912
Phone 507 396-0197
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Pharmacy
Lab Director SARAH B. MILLER

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