06D2012947 CLIA NUMBER - WALGREENS #06844

Laboratory Demographics

  • CLIA Code: 06D2012947
  • Facility Name: WALGREENS #06844
  • Facility Address: 4502 S COLLEGE AVE
    FORT COLLINS, CO
    ZIP 80525
  • Facility Phone: 970 377-0300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEANETTE K. YOCHUM
  • NPI Number: 1225043565
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2012947
LAB Type Pharmacy
Facility Name WALGREENS #06844
Street 4502 S COLLEGE AVE
City FORT COLLINS
State CO
ZIP 80525
Phone 970 377-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Pharmacy
Lab Director JEANETTE K. YOCHUM

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