06D2012954 CLIA NUMBER - WALGREENS #09767

Laboratory Demographics

  • CLIA Code: 06D2012954
  • Facility Name: WALGREENS #09767
  • Facility Address: 1855 SOUTHGATE RD
    COLORADO SPRINGS, CO
    ZIP 80906
  • Facility Phone: 719 473-7300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CYNTHIA J. HALL
  • NPI Number: 1548275886
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2012954
LAB Type Pharmacy
Facility Name WALGREENS #09767
Street 1855 SOUTHGATE RD
City COLORADO SPRINGS
State CO
ZIP 80906
Phone 719 473-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Pharmacy
Lab Director CYNTHIA J. HALL

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