06D2012928 CLIA NUMBER - WALGREENS #03190

Laboratory Demographics

  • CLIA Code: 06D2012928
  • Facility Name: WALGREENS #03190
  • Facility Address: 1111 S COLORADO BLVD
    DENVER, CO
    ZIP 80246
  • Facility Phone: 303 758-8083
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KORY L. SELKEN
  • NPI Number: 1982619227
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2012928
LAB Type Pharmacy
Facility Name WALGREENS #03190
Street 1111 S COLORADO BLVD
City DENVER
State CO
ZIP 80246
Phone 303 758-8083
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director KORY L. SELKEN

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