06D2012933 CLIA NUMBER - WALGREENS #03586

Laboratory Demographics

  • CLIA Code: 06D2012933
  • Facility Name: WALGREENS #03586
  • Facility Address: 3480 N ACADEMY BLVD
    COLORADO SPRINGS, CO
    ZIP 80917
  • Facility Phone: 719 380-9438
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHAWN T. WILLIAMS
  • NPI Number: 1194730432
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2012933
LAB Type Pharmacy
Facility Name WALGREENS #03586
Street 3480 N ACADEMY BLVD
City COLORADO SPRINGS
State CO
ZIP 80917
Phone 719 380-9438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Pharmacy
Lab Director SHAWN T. WILLIAMS

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