CLIA lab

CLIA 24D2011194: Walgreens 04879

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

CLIA number 24D2011194 belongs to Walgreens 04879 in Savage, MN.

Certificate of Waiver, effective January 16, 2026, expires January 15, 2028.

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
January 16, 2026
Certificate expiration
January 15, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 12, 2010
Facility type
Other
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
24D2011194
Lab name
Walgreens 04879
Address
8100 W County Road 42, Savage, MN 55378
Phone
(952) 226-1283
Fax
(952) 226-1289

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 Savage, MN

Related

Questions

What is the CLIA number for Walgreens 04879 in Savage?

24D2011194, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens 04879 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2011194 expire?

The CMS file lists January 15, 2028 as the certificate expiration date; the certificate took effect January 16, 2026.

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