06D2012950 CLIA NUMBER - WALGREENS #07252

Laboratory Demographics

  • CLIA Code: 06D2012950
  • Facility Name: WALGREENS #07252
  • Facility Address: 2190 W DRAKE RD
    FORT COLLINS, CO
    ZIP 80526
  • Facility Phone: 970 484-5841
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. CROOKSTON
  • NPI Number: 1093720336
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2012950
LAB Type Pharmacy
Facility Name WALGREENS #07252
Street 2190 W DRAKE RD
City FORT COLLINS
State CO
ZIP 80526
Phone 970 484-5841
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Pharmacy
Lab Director MICHAEL J. CROOKSTON

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This page was last updated on: 6/4/2025