24D2224395 CLIA NUMBER - WALGREENS #11832

Laboratory Demographics

  • CLIA Code: 24D2224395
  • Facility Name: WALGREENS #11832
  • Facility Address: 3605 ROUND LAKE BLVD NW
    ANOKA, MN
    ZIP 55303
  • Facility Phone: 763 252-0751
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VANG A. VA
  • NPI Number: 1427204726
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2224395
LAB Type Pharmacy
Facility Name WALGREENS #11832
Street 3605 ROUND LAKE BLVD NW
City ANOKA
State MN
ZIP 55303
Phone 763 252-0751
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Pharmacy
Lab Director VANG A. VA

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