06D2012944 CLIA NUMBER - WALGREENS #05645

Laboratory Demographics

  • CLIA Code: 06D2012944
  • Facility Name: WALGREENS #05645
  • Facility Address: 205 E EISENHOWER BLVD
    LOVELAND, CO
    ZIP 80537
  • Facility Phone: 970 669-4444
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAMELA S. BRIDGE
  • NPI Number: 1538887096
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 06D2012944
LAB Type Pharmacy
Facility Name WALGREENS #05645
Street 205 E EISENHOWER BLVD
City LOVELAND
State CO
ZIP 80537
Phone 970 669-4444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Pharmacy
Lab Director PAMELA S. BRIDGE

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