24D2217974 CLIA NUMBER - WALGREENS #05080

Laboratory Demographics

  • CLIA Code: 24D2217974
  • Facility Name: WALGREENS #05080
  • Facility Address: 10180 HENNEPIN TOWN RD
    EDEN PRAIRIE, MN
    ZIP 55347
  • Facility Phone: 952 941-8666
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIK M. SCHAEFER
  • NPI Number: 1851306088
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2217974
LAB Type Pharmacy
Facility Name WALGREENS #05080
Street 10180 HENNEPIN TOWN RD
City EDEN PRAIRIE
State MN
ZIP 55347
Phone 952 941-8666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Pharmacy
Lab Director ERIK M. SCHAEFER

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