24D2217977 CLIA NUMBER - WALGREENS #13842

Laboratory Demographics

  • CLIA Code: 24D2217977
  • Facility Name: WALGREENS #13842
  • Facility Address: 9 CENTRAL AVE E
    SAINT MICHAEL, MN
    ZIP 55376
  • Facility Phone: 763 497-8503
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LIYAN ARTAK
  • NPI Number: 1902195357
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2217977
LAB Type Pharmacy
Facility Name WALGREENS #13842
Street 9 CENTRAL AVE E
City SAINT MICHAEL
State MN
ZIP 55376
Phone 763 497-8503
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 LIYAN ARTAK

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