24D2291779 CLIA NUMBER - WALGREENS 16279

Laboratory Demographics

  • CLIA Code: 24D2291779
  • Facility Name: WALGREENS 16279
  • Facility Address: 3121 E LAKE ST
    MINNEAPOLIS, MN
    ZIP 55406
  • Facility Phone: 612 721-4868
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OLUFEMI OSHO
  • NPI Number: 1033124342
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2291779
LAB Type Pharmacy
Facility Name WALGREENS 16279
Street 3121 E LAKE ST
City MINNEAPOLIS
State MN
ZIP 55406
Phone 612 721-4868
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Pharmacy
Lab Director OLUFEMI OSHO

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