06D2012932 CLIA NUMBER - WALGREENS #03584

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Laboratory Demographics

CLIA Number: 06D2012932

Facility Name: WALGREENS #03584

Facility Address:
2921 N NEVADA AVE
COLORADO SPRINGS, CO
ZIP 80907
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Facility Phone Number: 719 471-3440

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1427063767

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	06D2012932
LAB Type	Pharmacy
Facility Name	WALGREENS #03584
Street	2921 N NEVADA AVE
City	COLORADO SPRINGS
State	CO
ZIP	80907
Phone	719 471-3440
CertificateType	4
CertificateEffectiveDate	11/17/2023
CertificateExpirationDate	11/16/2025
FacilityType	Waiver

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