24D2044765 CLIA NUMBER - WALGREENS #15149

Laboratory Demographics

  • CLIA Code: 24D2044765
  • Facility Name: WALGREENS #15149
  • Facility Address: 1609 KENWOOD AVE
    DULUTH, MN
    ZIP 55811
  • Facility Phone: 218 724-8825
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES O. LABERGE
  • NPI Number: 1336441088
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2044765
LAB Type Pharmacy
Facility Name WALGREENS #15149
Street 1609 KENWOOD AVE
City DULUTH
State MN
ZIP 55811
Phone 218 724-8825
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Pharmacy
Lab Director JAMES O. LABERGE

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