06D2128332 CLIA NUMBER - WALMART PHARMACY #10-2729

Laboratory Demographics

  • CLIA Code: 06D2128332
  • Facility Name: WALMART PHARMACY #10-2729
  • Facility Address: 1250 E MAGNOLIA ST
    FORT COLLINS, CO
    ZIP 80524
  • Facility Phone: 970 493-3934
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA M. BOESCH
  • NPI Number: 1700803087
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2128332
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2729
Street 1250 E MAGNOLIA ST
City FORT COLLINS
State CO
ZIP 80524
Phone 970 493-3934
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 LISA M. BOESCH

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