24D2218001 CLIA NUMBER - WALGREENS #15150

Laboratory Demographics

  • CLIA Code: 24D2218001
  • Facility Name: WALGREENS #15150
  • Facility Address: 2251 COMMERCE BLVD
    MOUND, MN
    ZIP 55364
  • Facility Phone: 952 472-2929
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SALLY A. KASTNER
  • NPI Number: 1023312717
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2218001
LAB Type Pharmacy
Facility Name WALGREENS #15150
Street 2251 COMMERCE BLVD
City MOUND
State MN
ZIP 55364
Phone 952 472-2929
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 SALLY A. KASTNER

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