06D2012939 CLIA NUMBER - WALGREENS #04366

Laboratory Demographics

  • CLIA Code: 06D2012939
  • Facility Name: WALGREENS #04366
  • Facility Address: 4401 WADSWORTH BLVD
    WHEAT RIDGE, CO
    ZIP 80033
  • Facility Phone: 303 463-7719
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DOROTHY N. DUNCAN
  • NPI Number: 1780690156
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2012939
LAB Type Pharmacy
Facility Name WALGREENS #04366
Street 4401 WADSWORTH BLVD
City WHEAT RIDGE
State CO
ZIP 80033
Phone 303 463-7719
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Pharmacy
Lab Director DOROTHY N. DUNCAN

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