06D2031337 CLIA NUMBER - WALGREENS #09979

Laboratory Demographics

  • CLIA Code: 06D2031337
  • Facility Name: WALGREENS #09979
  • Facility Address: 111 E PLATTE AVE
    FORT MORGAN, CO
    ZIP 80701
  • Facility Phone: 970 542-9345
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTIE WHITE
  • NPI Number: 1841205192
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2031337
LAB Type Pharmacy
Facility Name WALGREENS #09979
Street 111 E PLATTE AVE
City FORT MORGAN
State CO
ZIP 80701
Phone 970 542-9345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Pharmacy
Lab Director KRISTIE WHITE

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