24D2031269 CLIA NUMBER - WALGREENS #10189

Laboratory Demographics

  • CLIA Code: 24D2031269
  • Facility Name: WALGREENS #10189
  • Facility Address: 1321 OXFORD ST
    WORTHINGTON, MN
    ZIP 56187
  • Facility Phone: 507 372-7496
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TENZIN KUNPHEL
  • NPI Number: 1730137183
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2031269
LAB Type Pharmacy
Facility Name WALGREENS #10189
Street 1321 OXFORD ST
City WORTHINGTON
State MN
ZIP 56187
Phone 507 372-7496
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Pharmacy
Lab Director TENZIN KUNPHEL

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