24D2185881 CLIA NUMBER - GRAND ST PAUL CVS, LLC DBA CVS/PHARMACY #1747

Laboratory Demographics

  • CLIA Code: 24D2185881
  • Facility Name: GRAND ST PAUL CVS, LLC DBA CVS/PHARMACY #1747
  • Facility Address: 7765 GALPIN BOULEVARD
    CHANHASSEN, MN
    ZIP 55317
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT PICKFORD
  • NPI Number: 1588686265
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2185881
LAB Type Pharmacy
Facility Name GRAND ST PAUL CVS, LLC DBA CVS/PHARMACY #1747
Street 7765 GALPIN BOULEVARD
City CHANHASSEN
State MN
ZIP 55317
Phone 401 770-6431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Pharmacy
Lab Director SCOTT PICKFORD

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