24D2230393 CLIA NUMBER - WALGREENS #05325

Laboratory Demographics

  • CLIA Code: 24D2230393
  • Facility Name: WALGREENS #05325
  • Facility Address: 3110 CHASKA BLVD
    CHASKA, MN
    ZIP 55318
  • Facility Phone: 952 448-1180
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW R. MARJALA
  • NPI Number: 1932114154
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2230393
LAB Type Pharmacy
Facility Name WALGREENS #05325
Street 3110 CHASKA BLVD
City CHASKA
State MN
ZIP 55318
Phone 952 448-1180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Pharmacy
Lab Director ANDREW R. MARJALA

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