CLIA lab

CLIA 24D2007688: Walgreens #01479

Maple Grove, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 24D2007688 belongs to Walgreens #01479 in Maple Grove, MN.

Certificate of Waiver, effective December 17, 2024, expires December 16, 2026.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
December 17, 2024
Certificate expiration
December 16, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
May 24, 2010
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
24D2007688
Lab name
Walgreens #01479
Address
16750 County Road 30, Maple Grove, MN 55311
Phone
(763) 416-1863
Fax
(763) 416-4698

Annual test volume the lab reported

Waived tests
12,775

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Maple Grove, MN

Related

Questions

What is the CLIA number for Walgreens #01479 in Maple Grove?

24D2007688, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #01479 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2007688 expire?

The CMS file lists December 16, 2026 as the certificate expiration date; the certificate took effect December 17, 2024.

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