24D2225896 CLIA NUMBER - WALGREENS #03122

Laboratory Demographics

  • CLIA Code: 24D2225896
  • Facility Name: WALGREENS #03122
  • Facility Address: 985 GENEVA AVE N
    OAKDALE, MN
    ZIP 55128
  • Facility Phone: 651 731-8480
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRITTANY L. FONDAKOWSKI
  • NPI Number: 1023023348
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2225896
LAB Type Pharmacy
Facility Name WALGREENS #03122
Street 985 GENEVA AVE N
City OAKDALE
State MN
ZIP 55128
Phone 651 731-8480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Pharmacy
Lab Director BRITTANY L. FONDAKOWSKI

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