43D2242934 CLIA NUMBER - WALGREENS #05514

Laboratory Demographics

  • CLIA Code: 43D2242934
  • Facility Name: WALGREENS #05514
  • Facility Address: 1806 SOUTH MINNESOTA AVE
    SIOUX FALLS, SD
    ZIP 57105
  • Facility Phone: 605 221-0578
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN GIENAPP
  • NPI Number: 1457366551
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 43D2242934
LAB Type Pharmacy
Facility Name WALGREENS #05514
Street 1806 SOUTH MINNESOTA AVE
City SIOUX FALLS
State SD
ZIP 57105
Phone 605 221-0578
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Pharmacy
Lab Director RYAN GIENAPP

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