24D2287359 CLIA NUMBER - WALGREENS 10473

Laboratory Demographics

  • CLIA Code: 24D2287359
  • Facility Name: WALGREENS 10473
  • Facility Address: 1700 RICE ST
    SAINT PAUL, MN
    ZIP 55113
  • Facility Phone: 651 251-9811
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARK J. LINDGREN
  • NPI Number: 1326239617
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2287359
LAB Type Pharmacy
Facility Name WALGREENS 10473
Street 1700 RICE ST
City SAINT PAUL
State MN
ZIP 55113
Phone 651 251-9811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director MARK J. LINDGREN

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