24D2031287 CLIA NUMBER - WALGREENS #12592

Laboratory Demographics

  • CLIA Code: 24D2031287
  • Facility Name: WALGREENS #12592
  • Facility Address: 326 W LINCOLN AVE
    FERGUS FALLS, MN
    ZIP 56537
  • Facility Phone: 218 736-1028
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW J. HAAK
  • NPI Number: 1720222573
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2031287
LAB Type Pharmacy
Facility Name WALGREENS #12592
Street 326 W LINCOLN AVE
City FERGUS FALLS
State MN
ZIP 56537
Phone 218 736-1028
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Pharmacy
Lab Director MATTHEW J. HAAK

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