24D2230149 CLIA NUMBER - WALGREENS #06995

Laboratory Demographics

  • CLIA Code: 24D2230149
  • Facility Name: WALGREENS #06995
  • Facility Address: 1788 OLD HUDSON RD
    SAINT PAUL, MN
    ZIP 55119
  • Facility Phone: 651 731-9633
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULI A. PARK JANKOWSKI
  • NPI Number: 1396750527
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2230149
LAB Type Pharmacy
Facility Name WALGREENS #06995
Street 1788 OLD HUDSON RD
City SAINT PAUL
State MN
ZIP 55119
Phone 651 731-9633
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 JULI A. PARK JANKOWSKI

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