24D2287376 CLIA NUMBER - WALGREENS 15124

Laboratory Demographics

  • CLIA Code: 24D2287376
  • Facility Name: WALGREENS 15124
  • Facility Address: 1002 HIGHWAY 25 N
    BUFFALO, MN
    ZIP 55313
  • Facility Phone: 763 682-6354
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAKSIM A. KAZLOUSKI
  • NPI Number: 1588947709
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2287376
LAB Type Pharmacy
Facility Name WALGREENS 15124
Street 1002 HIGHWAY 25 N
City BUFFALO
State MN
ZIP 55313
Phone 763 682-6354
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 MAKSIM A. KAZLOUSKI

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