24D2044483 CLIA NUMBER - WALGREENS #13753

Laboratory Demographics

  • CLIA Code: 24D2044483
  • Facility Name: WALGREENS #13753
  • Facility Address: 5033 VERNON AVE S
    EDINA, MN
    ZIP 55436
  • Facility Phone: 952 929-0034
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REBECCA A. PAREJA
  • NPI Number: 1760774384
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2044483
LAB Type Pharmacy
Facility Name WALGREENS #13753
Street 5033 VERNON AVE S
City EDINA
State MN
ZIP 55436
Phone 952 929-0034
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 REBECCA A. PAREJA

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