24D2227934 CLIA NUMBER - WALGREENS #16361

Laboratory Demographics

  • CLIA Code: 24D2227934
  • Facility Name: WALGREENS #16361
  • Facility Address: 2650 HENNEPIN AVENUE
    MINNEAPOLIS, MN
    ZIP 55408
  • Facility Phone: 612 377-3308
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TYLER J. MORRELL
  • NPI Number: 1851306179
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2227934
LAB Type Pharmacy
Facility Name WALGREENS #16361
Street 2650 HENNEPIN AVENUE
City MINNEAPOLIS
State MN
ZIP 55408
Phone 612 377-3308
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 TYLER J. MORRELL

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This page was last updated on: 6/4/2025