06D2012932 CLIA NUMBER - WALGREENS #03584

Laboratory Demographics

  • CLIA Code: 06D2012932
  • Facility Name: WALGREENS #03584
  • Facility Address: 2921 N NEVADA AVE
    COLORADO SPRINGS, CO
    ZIP 80907
  • Facility Phone: 719 471-3440
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAYA MESGHALI
  • NPI Number: 1427063767
  • Taxonomy: 3336C0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Pharmacy
Lab Director MAYA MESGHALI

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