24D2031267 CLIA NUMBER - WALGREENS #09633

Laboratory Demographics

  • CLIA Code: 24D2031267
  • Facility Name: WALGREENS #09633
  • Facility Address: 421 PAUL BUNYAN DR NW
    BEMIDJI, MN
    ZIP 56601
  • Facility Phone: 218 333-4032
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GARRETT M. ANDERSON
  • NPI Number: 1740295971
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2031267
LAB Type Pharmacy
Facility Name WALGREENS #09633
Street 421 PAUL BUNYAN DR NW
City BEMIDJI
State MN
ZIP 56601
Phone 218 333-4032
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Pharmacy
Lab Director GARRETT M. ANDERSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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