24D2215352 CLIA NUMBER - WALGREENS #06735

Laboratory Demographics

  • CLIA Code: 24D2215352
  • Facility Name: WALGREENS #06735
  • Facility Address: 3700 SILVER LAKE RD NE
    SAINT ANTHONY, MN
    ZIP 55421
  • Facility Phone: 612 706-1988
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MOHAMED S. AHMED
  • NPI Number: 1689689994
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2215352
LAB Type Pharmacy
Facility Name WALGREENS #06735
Street 3700 SILVER LAKE RD NE
City SAINT ANTHONY
State MN
ZIP 55421
Phone 612 706-1988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Pharmacy
Lab Director MOHAMED S. AHMED

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This page was last updated on: 3/20/2025