06D2121613 CLIA NUMBER - WALMART PHARMACY #10-3313

Laboratory Demographics

  • CLIA Code: 06D2121613
  • Facility Name: WALMART PHARMACY #10-3313
  • Facility Address: 10900 E BRIARWOOD AVE
    CENTENNIAL, CO
    ZIP 80111
  • Facility Phone: 303 706-9548
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. MICHELLE MOYN
  • NPI Number: 1508883885
  • Taxonomy: 3336C0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Pharmacy
Lab Director DR. MICHELLE MOYN

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