24D2226726 CLIA NUMBER - WALGREENS #03423

Laboratory Demographics

  • CLIA Code: 24D2226726
  • Facility Name: WALGREENS #03423
  • Facility Address: 1911 S FERRY ST
    ANOKA, MN
    ZIP 55303
  • Facility Phone: 763 576-0388
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BETH HANSEN
  • NPI Number: 1841205168
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2226726
LAB Type Pharmacy
Facility Name WALGREENS #03423
Street 1911 S FERRY ST
City ANOKA
State MN
ZIP 55303
Phone 763 576-0388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Pharmacy
Lab Director BETH HANSEN

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