06D2118041 CLIA NUMBER - BERTHOUD DRUG

Laboratory Demographics

  • CLIA Code: 06D2118041
  • Facility Name: BERTHOUD DRUG
  • Facility Address: 1241 LAKE AVENUE
    BERTHOUD, CO
    ZIP 80513
  • Facility Phone: 970 532-2034
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSHUA E. JONES
  • NPI Number: 1619072972
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2118041
LAB Type Pharmacy
Facility Name BERTHOUD DRUG
Street 1241 LAKE AVENUE
City BERTHOUD
State CO
ZIP 80513
Phone 970 532-2034
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Pharmacy
Lab Director JOSHUA E. JONES

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