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24D2279703 CLIA NUMBER - GRAND ST PAUL CVS, LLC DBA CVS/PHARMACY #10771

Laboratory Demographics

CLIA Number: 24D2279703

Facility Name: GRAND ST PAUL CVS, LLC DBA CVS/PHARMACY #10771

Facility Address:
740 RAILROAD AVE
ALBANY, MN
ZIP 56307
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Facility Phone Number: 320 845-7540

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1316327042

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 24D2279703
LAB Type Pharmacy
Facility Name GRAND ST PAUL CVS, LLC DBA CVS/PHARMACY #10771
Street 740 RAILROAD AVE
City ALBANY
State MN
ZIP 56307
Phone 320 845-7540
CertificateType 4
CertificateEffectiveDate 4/6/2023
CertificateExpirationDate 4/5/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024