24D2216884 CLIA NUMBER - WALGREENS #06489

Laboratory Demographics

  • CLIA Code: 24D2216884
  • Facility Name: WALGREENS #06489
  • Facility Address: 1291 TASHA DR
    SHAKOPEE, MN
    ZIP 55379
  • Facility Phone: 952 233-3611
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMILY RATH
  • NPI Number: 1942215173
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2216884
LAB Type Pharmacy
Facility Name WALGREENS #06489
Street 1291 TASHA DR
City SHAKOPEE
State MN
ZIP 55379
Phone 952 233-3611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Pharmacy
Lab Director EMILY RATH

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