06D1081835 CLIA NUMBER - WALGREENS #03585

Laboratory Demographics

  • CLIA Code: 06D1081835
  • Facility Name: WALGREENS #03585
  • Facility Address: 6820 CENTENNIAL BLVD
    COLORADO SPRINGS, CO
    ZIP 80919
  • Facility Phone: 719 264-1665
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELINDA M. BASHEIN
  • NPI Number: 1063427300
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D1081835
LAB Type Pharmacy
Facility Name WALGREENS #03585
Street 6820 CENTENNIAL BLVD
City COLORADO SPRINGS
State CO
ZIP 80919
Phone 719 264-1665
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Pharmacy
Lab Director MELINDA M. BASHEIN

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This page was last updated on: 9/29/2025