24D2055075 CLIA NUMBER - WALGREENS #05048

Laboratory Demographics

  • CLIA Code: 24D2055075
  • Facility Name: WALGREENS #05048
  • Facility Address: 1017 VERMILLION ST
    HASTINGS, MN
    ZIP 55033
  • Facility Phone: 651 438-0433
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIKA L. EKMAN
  • NPI Number: 1023023249
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2055075
LAB Type Pharmacy
Facility Name WALGREENS #05048
Street 1017 VERMILLION ST
City HASTINGS
State MN
ZIP 55033
Phone 651 438-0433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Pharmacy
Lab Director ERIKA L. EKMAN

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