06D2012940 CLIA NUMBER - WALGREENS #04667

Laboratory Demographics

  • CLIA Code: 06D2012940
  • Facility Name: WALGREENS #04667
  • Facility Address: 1601 W 84TH AVE
    FEDERAL HEIGHTS, CO
    ZIP 80260
  • Facility Phone: 303 426-4994
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT A. REESE
  • NPI Number: 1598771966
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2012940
LAB Type Pharmacy
Facility Name WALGREENS #04667
Street 1601 W 84TH AVE
City FEDERAL HEIGHTS
State CO
ZIP 80260
Phone 303 426-4994
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Pharmacy
Lab Director ROBERT A. REESE

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