24D2288577 CLIA NUMBER - WALGREENS 16476

Laboratory Demographics

  • CLIA Code: 24D2288577
  • Facility Name: WALGREENS 16476
  • Facility Address: 398 WABASHA ST N
    SAINT PAUL, MN
    ZIP 55102
  • Facility Phone: 651 224-6030
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD A. HASHER
  • NPI Number: 1053326363
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2288577
LAB Type Pharmacy
Facility Name WALGREENS 16476
Street 398 WABASHA ST N
City SAINT PAUL
State MN
ZIP 55102
Phone 651 224-6030
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 RICHARD A. HASHER

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