06D2128269 CLIA NUMBER - WALMART PHARMACY #10-1095

Laboratory Demographics

  • CLIA Code: 06D2128269
  • Facility Name: WALMART PHARMACY #10-1095
  • Facility Address: 3010 BLAKE AVE
    GLENWOOD SPRINGS, CO
    ZIP 81601
  • Facility Phone: (970) 945-5114
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VINCENT D. CAMPBELL
  • NPI Number: 1912924275
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2128269
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1095
Street 3010 BLAKE AVE
City GLENWOOD SPRINGS
State CO
ZIP 81601
Phone 9709455114
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 VINCENT D. CAMPBELL

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This page was last updated on: 5/18/2026