24D2230398 CLIA NUMBER - WALGREENS #03293

Laboratory Demographics

  • CLIA Code: 24D2230398
  • Facility Name: WALGREENS #03293
  • Facility Address: 9273 LAKE DR
    CIRCLE PINES, MN
    ZIP 55014
  • Facility Phone: 763 783-7005
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THI NGA T. TRAN
  • NPI Number: 1932114253
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2230398
LAB Type Pharmacy
Facility Name WALGREENS #03293
Street 9273 LAKE DR
City CIRCLE PINES
State MN
ZIP 55014
Phone 763 783-7005
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 THI NGA T. TRAN

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