06D2128300 CLIA NUMBER - WALMART PHARMACY #10-2125

Laboratory Demographics

  • CLIA Code: 06D2128300
  • Facility Name: WALMART PHARMACY #10-2125
  • Facility Address: 7455 W COLFAX AVE
    LAKEWOOD, CO
    ZIP 80214
  • Facility Phone: 303 274-8214
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDON ANDERSON
  • NPI Number: 1043237316
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2128300
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2125
Street 7455 W COLFAX AVE
City LAKEWOOD
State CO
ZIP 80214
Phone 303 274-8214
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 BRANDON ANDERSON

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