24D2206233 CLIA NUMBER - WALGREENS #13880

Laboratory Demographics

  • CLIA Code: 24D2206233
  • Facility Name: WALGREENS #13880
  • Facility Address: 115 2ND AVE N
    SAUK RAPIDS, MN
    ZIP 56379
  • Facility Phone: 320 253-6601
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AARON S. BRUMMER
  • NPI Number: 1760497085
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2206233
LAB Type Pharmacy
Facility Name WALGREENS #13880
Street 115 2ND AVE N
City SAUK RAPIDS
State MN
ZIP 56379
Phone 320 253-6601
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 AARON S. BRUMMER

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