24D2227929 CLIA NUMBER - WALGREENS #12434

Laboratory Demographics

  • CLIA Code: 24D2227929
  • Facility Name: WALGREENS #12434
  • Facility Address: 2499 HIGHWAY 7
    EXCELSIOR, MN
    ZIP 55331
  • Facility Phone: 952 252-1070
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH S. MATHRE
  • NPI Number: 1316174360
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2227929
LAB Type Pharmacy
Facility Name WALGREENS #12434
Street 2499 HIGHWAY 7
City EXCELSIOR
State MN
ZIP 55331
Phone 952 252-1070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Pharmacy
Lab Director SARAH S. MATHRE

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