06D1065933 CLIA NUMBER - WALGREENS #07927

Laboratory Demographics

CLIA Number: 06D1065933

Facility Name: WALGREENS #07927

Facility Address:
1770 HOVER ST
LONGMONT, CO
ZIP 80501
Get Directions

Facility Phone Number: 303 776-0128

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1922014398

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 06D1065933
LAB Type Pharmacy
Facility Name WALGREENS #07927
Street 1770 HOVER ST
City LONGMONT
State CO
ZIP 80501
Phone 303 776-0128
CertificateType 4
CertificateEffectiveDate 4/5/2023
CertificateExpirationDate 4/4/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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