06D2012936 CLIA NUMBER - WALGREENS #04025

Laboratory Demographics

  • CLIA Code: 06D2012936
  • Facility Name: WALGREENS #04025
  • Facility Address: 5190 W 120TH AVE
    WESTMINSTER, CO
    ZIP 80020
  • Facility Phone: 303 410-1105
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GEORGE LITSAS
  • NPI Number: 1154336493
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2012936
LAB Type Pharmacy
Facility Name WALGREENS #04025
Street 5190 W 120TH AVE
City WESTMINSTER
State CO
ZIP 80020
Phone 303 410-1105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Pharmacy
Lab Director GEORGE LITSAS

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