24D2219573 CLIA NUMBER - WALGREENS #10516

Laboratory Demographics

  • CLIA Code: 24D2219573
  • Facility Name: WALGREENS #10516
  • Facility Address: 608 N BROADWAY ST
    NEW ULM, MN
    ZIP 56073
  • Facility Phone: 507 359-8793
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW J. HARTMAN
  • NPI Number: 1417044108
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2219573
LAB Type Pharmacy
Facility Name WALGREENS #10516
Street 608 N BROADWAY ST
City NEW ULM
State MN
ZIP 56073
Phone 507 359-8793
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director MATTHEW J. HARTMAN

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