06D2012938 CLIA NUMBER - WALGREENS #04301

Laboratory Demographics

  • CLIA Code: 06D2012938
  • Facility Name: WALGREENS #04301
  • Facility Address: 2975 FEDERAL BLVD
    DENVER, CO
    ZIP 80211
  • Facility Phone: 303 433-8911
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL CHAN
  • NPI Number: 1972518215
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2012938
LAB Type Pharmacy
Facility Name WALGREENS #04301
Street 2975 FEDERAL BLVD
City DENVER
State CO
ZIP 80211
Phone 303 433-8911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Pharmacy
Lab Director MICHAEL CHAN

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