24D2223711 CLIA NUMBER - GRAND ST PAUL CVS, LLC DBA CVS/PHARMACY #17260

Laboratory Demographics

CLIA Number: 24D2223711

Facility Name: GRAND ST PAUL CVS, LLC DBA CVS/PHARMACY #17260

Facility Address:
1447 E 7TH ST
MONTICELLO, MN
ZIP 55362
Get Directions

Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1700936044

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	24D2223711
LAB Type	Pharmacy
Facility Name	GRAND ST PAUL CVS, LLC DBA CVS/PHARMACY #17260
Street	1447 E 7TH ST
City	MONTICELLO
State	MN
ZIP	55362
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	5/10/2023
CertificateExpirationDate	5/9/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024