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06D2121613 CLIA NUMBER - WALMART PHARMACY #10-3313

Laboratory Demographics

CLIA Number: 06D2121613

Facility Name: WALMART PHARMACY #10-3313

Facility Address:
10900 E BRIARWOOD AVE
CENTENNIAL, CO
ZIP 80111
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Facility Phone Number: 303 706-9548

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1508883885

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 06D2121613
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3313
Street 10900 E BRIARWOOD AVE
City CENTENNIAL
State CO
ZIP 80111
Phone 303 706-9548
CertificateType 4
CertificateEffectiveDate 11/9/2022
CertificateExpirationDate 11/8/2024
FacilityType Waiver

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