24D2291564 CLIA NUMBER - WALGREENS 00430

Laboratory Demographics

  • CLIA Code: 24D2291564
  • Facility Name: WALGREENS 00430
  • Facility Address: 5695 DULUTH ST
    GOLDEN VALLEY, MN
    ZIP 55422
  • Facility Phone: 763 546-5336
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. REIFF
  • NPI Number: 1265448807
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2291564
LAB Type Pharmacy
Facility Name WALGREENS 00430
Street 5695 DULUTH ST
City GOLDEN VALLEY
State MN
ZIP 55422
Phone 763 546-5336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Pharmacy
Lab Director MICHAEL A. REIFF

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