06D2014937 CLIA NUMBER - WALGREENS #09598

Laboratory Demographics

  • CLIA Code: 06D2014937
  • Facility Name: WALGREENS #09598
  • Facility Address: 1041 MAIN ST
    LONGMONT, CO
    ZIP 80501
  • Facility Phone: 303 772-1111
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NOLAT T. GECAN
  • NPI Number: 1467467704
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2014937
LAB Type Pharmacy
Facility Name WALGREENS #09598
Street 1041 MAIN ST
City LONGMONT
State CO
ZIP 80501
Phone 303 772-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director NOLAT T. GECAN

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