CLIA lab

CLIA 24D2214786: Walgreens #11764

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

CLIA number 24D2214786 belongs to Walgreens #11764 in Mendota Heights, MN.

Certificate of Waiver, effective February 25, 2025, expires February 24, 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
February 25, 2025
Certificate expiration
February 24, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 25, 2021
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
24D2214786
Lab name
Walgreens #11764
Address
790 N Plaza Drive, Mendota Heights, MN 55120
Phone
(651) 414-3787
Fax
(651) 414-3793

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 Mendota Heights, MN

Related

Questions

What is the CLIA number for Walgreens #11764 in Mendota Heights?

24D2214786, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #11764 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2214786 expire?

The CMS file lists February 24, 2027 as the certificate expiration date; the certificate took effect February 25, 2025.

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