24D2230107 CLIA NUMBER - WALGREENS #02316

Laboratory Demographics

  • CLIA Code: 24D2230107
  • Facility Name: WALGREENS #02316
  • Facility Address: 2024 85TH AVE N
    BROOKLYN PARK, MN
    ZIP 55444
  • Facility Phone: 763 424-9243
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ABBY M. RICHARDSON
  • NPI Number: 1669487898
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2230107
LAB Type Pharmacy
Facility Name WALGREENS #02316
Street 2024 85TH AVE N
City BROOKLYN PARK
State MN
ZIP 55444
Phone 763 424-9243
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 ABBY M. RICHARDSON

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