24D2221001 CLIA NUMBER - WALGREENS #02460

Laboratory Demographics

  • CLIA Code: 24D2221001
  • Facility Name: WALGREENS #02460
  • Facility Address: 115 GARFIELD ST N
    CAMBRIDGE, MN
    ZIP 55008
  • Facility Phone: 763 552-3103
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA A. MAREK
  • NPI Number: 1578578704
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2221001
LAB Type Pharmacy
Facility Name WALGREENS #02460
Street 115 GARFIELD ST N
City CAMBRIDGE
State MN
ZIP 55008
Phone 763 552-3103
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Pharmacy
Lab Director LISA A. MAREK

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