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06D1063440 CLIA NUMBER - WALGREENS #9567

Laboratory Demographics

CLIA Number: 06D1063440

Facility Name: WALGREENS #9567

Facility Address:
1235 E EVANS AVE
DENVER, CO
ZIP 80210
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Facility Phone Number: 303 778-6069

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1902811243

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 06D1063440
LAB Type Pharmacy
Facility Name WALGREENS #9567
Street 1235 E EVANS AVE
City DENVER
State CO
ZIP 80210
Phone 303 778-6069
CertificateType 4
CertificateEffectiveDate 1/26/2023
CertificateExpirationDate 1/25/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024