24D2291058 CLIA NUMBER - WALGREENS 07727

Laboratory Demographics

  • CLIA Code: 24D2291058
  • Facility Name: WALGREENS 07727
  • Facility Address: 750 MANKATO AVE
    WINONA, MN
    ZIP 55987
  • Facility Phone: 507 452-4076
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VICKIANN G. VAIL
  • NPI Number: 1295740421
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2291058
LAB Type Pharmacy
Facility Name WALGREENS 07727
Street 750 MANKATO AVE
City WINONA
State MN
ZIP 55987
Phone 507 452-4076
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Pharmacy
Lab Director VICKIANN G. VAIL

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