24D2232037 CLIA NUMBER - WALGREENS #01951

Laboratory Demographics

  • CLIA Code: 24D2232037
  • Facility Name: WALGREENS #01951
  • Facility Address: 612 4TH ST NW
    FARIBAULT, MN
    ZIP 55021
  • Facility Phone: 507 332-9783
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMMANUEL DOUAH
  • NPI Number: 1750396982
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2232037
LAB Type Pharmacy
Facility Name WALGREENS #01951
Street 612 4TH ST NW
City FARIBAULT
State MN
ZIP 55021
Phone 507 332-9783
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director EMMANUEL DOUAH

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