24D2230095 CLIA NUMBER - WALGREENS #04882

Laboratory Demographics

  • CLIA Code: 24D2230095
  • Facility Name: WALGREENS #04882
  • Facility Address: 5825 CAHILL AVE
    INVER GROVE HEIGHTS, MN
    ZIP 55076
  • Facility Phone: 651 451-1503
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL A. ADDIS
  • NPI Number: 1114932332
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2230095
LAB Type Pharmacy
Facility Name WALGREENS #04882
Street 5825 CAHILL AVE
City INVER GROVE HEIGHTS
State MN
ZIP 55076
Phone 651 451-1503
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Pharmacy
Lab Director DANIEL A. ADDIS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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