06D2124609 CLIA NUMBER - WALMART PHARMACY #10-984

Laboratory Demographics

  • CLIA Code: 06D2124609
  • Facility Name: WALMART PHARMACY #10-984
  • Facility Address: 133 SAM WALTON LANE
    CASTLE ROCK, CO
    ZIP 80104
  • Facility Phone: 303 688-8335
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BROOKE T. BURNS
  • NPI Number: 1659398915
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2124609
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-984
Street 133 SAM WALTON LANE
City CASTLE ROCK
State CO
ZIP 80104
Phone 303 688-8335
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Pharmacy
Lab Director BROOKE T. BURNS

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