24D2206184 CLIA NUMBER - WALGREENS #05413

Laboratory Demographics

  • CLIA Code: 24D2206184
  • Facility Name: WALGREENS #05413
  • Facility Address: 600 COUNTY ROAD 10 NE
    BLAINE, MN
    ZIP 55434
  • Facility Phone: 763 786-9081
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: ALISON J. JONES
  • NPI Number: 1124033352
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2206184
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREENS #05413
Street 600 COUNTY ROAD 10 NE
City BLAINE
State MN
ZIP 55434
Phone 763 786-9081
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Other - COVID 19 TEST SITE
Lab Director ALISON J. JONES

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