24D2230236 CLIA NUMBER - WALGREENS #13853

Laboratory Demographics

  • CLIA Code: 24D2230236
  • Facility Name: WALGREENS #13853
  • Facility Address: 4950 COUNTY ROAD 101
    MINNETONKA, MN
    ZIP 55345
  • Facility Phone: 952 938-3566
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WESLEY J. PEDERSON
  • NPI Number: 1770598088
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2230236
LAB Type Pharmacy
Facility Name WALGREENS #13853
Street 4950 COUNTY ROAD 101
City MINNETONKA
State MN
ZIP 55345
Phone 952 938-3566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Pharmacy
Lab Director WESLEY J. PEDERSON

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