24D2226387 CLIA NUMBER - WALGREENS #12403

Laboratory Demographics

  • CLIA Code: 24D2226387
  • Facility Name: WALGREENS #12403
  • Facility Address: 600 VILLAGE CENTER DR
    NORTH OAKS, MN
    ZIP 55127
  • Facility Phone: 651 251-1014
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CURTIS COFFMAN
  • NPI Number: 1699925701
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2226387
LAB Type Pharmacy
Facility Name WALGREENS #12403
Street 600 VILLAGE CENTER DR
City NORTH OAKS
State MN
ZIP 55127
Phone 651 251-1014
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Pharmacy
Lab Director CURTIS COFFMAN

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