24D2035804 CLIA NUMBER - WALGREENS #11374

Laboratory Demographics

  • CLIA Code: 24D2035804
  • Facility Name: WALGREENS #11374
  • Facility Address: 1023 1ST AVE NE
    LITTLE FALLS, MN
    ZIP 56345
  • Facility Phone: 320 632-1639
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACOB J. OLSON
  • NPI Number: 1730327982
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2035804
LAB Type Pharmacy
Facility Name WALGREENS #11374
Street 1023 1ST AVE NE
City LITTLE FALLS
State MN
ZIP 56345
Phone 320 632-1639
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 JACOB J. OLSON

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