CLIA lab

CLIA 24D2011693: Walgreens #04725

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

CLIA number 24D2011693 belongs to Walgreens #04725 in Champlin, MN.

Certificate of Waiver, effective July 20, 2025, expires July 19, 2027.

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
July 20, 2025
Certificate expiration
July 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 20, 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
24D2011693
Lab name
Walgreens #04725
Address
11401 Marketplace Dr N, Champlin, MN 55316
Phone
(763) 427-6389
Fax
(763) 427-2520

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 Champlin, MN

Related

Questions

What is the CLIA number for Walgreens #04725 in Champlin?

24D2011693, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #04725 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2011693 expire?

The CMS file lists July 19, 2027 as the certificate expiration date; the certificate took effect July 20, 2025.

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