24D2218597 CLIA NUMBER - WALGREENS #09095

Laboratory Demographics

  • CLIA Code: 24D2218597
  • Facility Name: WALGREENS #09095
  • Facility Address: 125 18TH ST SE
    OWATONNA, MN
    ZIP 55060
  • Facility Phone: 507 451-8326
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSHUA G. GATZKE
  • NPI Number: 1104831338
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2218597
LAB Type Pharmacy
Facility Name WALGREENS #09095
Street 125 18TH ST SE
City OWATONNA
State MN
ZIP 55060
Phone 507 451-8326
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Pharmacy
Lab Director JOSHUA G. GATZKE

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