24D2291063 CLIA NUMBER - WALGREENS 16275

Laboratory Demographics

  • CLIA Code: 24D2291063
  • Facility Name: WALGREENS 16275
  • Facility Address: 655 NICOLLET MALL
    MINNEAPOLIS, MN
    ZIP 55402
  • Facility Phone: 612 339-0363
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAYLA N. NELSON
  • NPI Number: 1679588982
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2291063
LAB Type Pharmacy
Facility Name WALGREENS 16275
Street 655 NICOLLET MALL
City MINNEAPOLIS
State MN
ZIP 55402
Phone 612 339-0363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2023
Certificate Expiration Date 10/3/2025
Facility Type Pharmacy
Lab Director KAYLA N. NELSON

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This page was last updated on: 6/4/2025