24D2058866 CLIA NUMBER - WALGREENS #13841

Laboratory Demographics

  • CLIA Code: 24D2058866
  • Facility Name: WALGREENS #13841
  • Facility Address: 2500 WINNETKA AVE N
    GOLDEN VALLEY, MN
    ZIP 55427
  • Facility Phone: 763 544-1747
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW J. ADAMS
  • NPI Number: 1386920148
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2058866
LAB Type Pharmacy
Facility Name WALGREENS #13841
Street 2500 WINNETKA AVE N
City GOLDEN VALLEY
State MN
ZIP 55427
Phone 763 544-1747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Pharmacy
Lab Director MATTHEW J. ADAMS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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