24D2288571 CLIA NUMBER - WALGREENS 21377

Laboratory Demographics

  • CLIA Code: 24D2288571
  • Facility Name: WALGREENS 21377
  • Facility Address: 1402 CENTRAL AVE NE
    EAST GRAND FORKS, MN
    ZIP 56721
  • Facility Phone: 218 773-5610
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SEAN C. KARPOWICH
  • NPI Number: 1184383622
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2288571
LAB Type Pharmacy
Facility Name WALGREENS 21377
Street 1402 CENTRAL AVE NE
City EAST GRAND FORKS
State MN
ZIP 56721
Phone 218 773-5610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Pharmacy
Lab Director SEAN C. KARPOWICH

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