06D2035558 CLIA NUMBER - WALGREENS #11187

Laboratory Demographics

  • CLIA Code: 06D2035558
  • Facility Name: WALGREENS #11187
  • Facility Address: 316 W ASPEN AVE
    FRUITA, CO
    ZIP 81521
  • Facility Phone: 970 858-0147
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAUREN N. BIEKER
  • NPI Number: 1689847832
  • Taxonomy: 3336C0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Pharmacy
Lab Director LAUREN N. BIEKER

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