06D2012952 CLIA NUMBER - WALGREENS #06621

Laboratory Demographics

  • CLIA Code: 06D2012952
  • Facility Name: WALGREENS #06621
  • Facility Address: 10808 W JEWELL AVE
    LAKEWOOD, CO
    ZIP 80232
  • Facility Phone: 303 914-1088
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LILY VAN
  • NPI Number: 1134134471
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2012952
LAB Type Pharmacy
Facility Name WALGREENS #06621
Street 10808 W JEWELL AVE
City LAKEWOOD
State CO
ZIP 80232
Phone 303 914-1088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Pharmacy
Lab Director LILY VAN

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