06D2128398 CLIA NUMBER - WALMART PHARMACY #10-3126

Laboratory Demographics

  • CLIA Code: 06D2128398
  • Facility Name: WALMART PHARMACY #10-3126
  • Facility Address: 16746 E SMOKY HILL RD
    CENTENNIAL, CO
    ZIP 80015
  • Facility Phone: (303) 305-1115
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA M. LEE
  • NPI Number: 1013274489
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2128398
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3126
Street 16746 E SMOKY HILL RD
City CENTENNIAL
State CO
ZIP 80015
Phone 3033051115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Pharmacy
Lab Director ANGELA M. LEE

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This page was last updated on: 5/15/2026