06D2035558 CLIA NUMBER - WALGREENS #11187

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Laboratory Demographics

CLIA Number: 06D2035558

Facility Name: WALGREENS #11187

Facility Address:
316 W ASPEN AVE
FRUITA, CO
ZIP 81521
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Facility Phone Number: 970 858-0147

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1689847832

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	06D2035558
LAB Type	Pharmacy
Facility Name	WALGREENS #11187
Street	316 W ASPEN AVE
City	FRUITA
State	CO
ZIP	81521
Phone	970 858-0147
CertificateType	4
CertificateEffectiveDate	4/20/2023
CertificateExpirationDate	4/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024