06D2128262 CLIA NUMBER - WALMART PHARMACY #10-0966

Laboratory Demographics

  • CLIA Code: 06D2128262
  • Facility Name: WALMART PHARMACY #10-0966
  • Facility Address: 1835 E MAIN ST
    CORTEZ, CO
    ZIP 81321
  • Facility Phone: 970 565-7038
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTIN HARDING
  • NPI Number: 1922025287
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2128262
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-0966
Street 1835 E MAIN ST
City CORTEZ
State CO
ZIP 81321
Phone 970 565-7038
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Pharmacy
Lab Director KRISTIN HARDING

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