06D2012945 CLIA NUMBER - WALGREENS #06111

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Laboratory Demographics

CLIA Number: 06D2012945

Facility Name: WALGREENS #06111

Facility Address:
309 NORTH US HIGHWAY 287
LAFAYETTE, CO
ZIP 80026
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Facility Phone Number: 720 890-7041

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1780699025

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	06D2012945
LAB Type	Pharmacy
Facility Name	WALGREENS #06111
Street	309 NORTH US HIGHWAY 287
City	LAFAYETTE
State	CO
ZIP	80026
Phone	720 890-7041
CertificateType	4
CertificateEffectiveDate	3/17/2023
CertificateExpirationDate	3/16/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024