06D2059108 CLIA NUMBER - WALGREENS #10117

Laboratory Demographics

  • CLIA Code: 06D2059108
  • Facility Name: WALGREENS #10117
  • Facility Address: 17222 S GOLDEN RD
    GOLDEN, CO
    ZIP 80401
  • Facility Phone: 303 457-5823
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEANNE A. MORI
  • NPI Number: 1700983905
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2059108
LAB Type Pharmacy
Facility Name WALGREENS #10117
Street 17222 S GOLDEN RD
City GOLDEN
State CO
ZIP 80401
Phone 303 457-5823
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Pharmacy
Lab Director LEANNE A. MORI

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