24D2031564 CLIA NUMBER - WALGREENS 13463

Laboratory Demographics

  • CLIA Code: 24D2031564
  • Facility Name: WALGREENS 13463
  • Facility Address: 1112 CIVIC CENTER DRIVE NW
    ROCHESTER, MN
    ZIP 55901
  • Facility Phone: 507 206-5173
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KYLE R. KRENZKE
  • NPI Number: 1083922280
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2031564
LAB Type Pharmacy
Facility Name WALGREENS 13463
Street 1112 CIVIC CENTER DRIVE NW
City ROCHESTER
State MN
ZIP 55901
Phone 507 206-5173
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Pharmacy
Lab Director KYLE R. KRENZKE

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