06D2128401 CLIA NUMBER - WALMART PHARMACY #10-0924

Laboratory Demographics

  • CLIA Code: 06D2128401
  • Facility Name: WALMART PHARMACY #10-0924
  • Facility Address: 1510 W MAIN ST
    STERLING, CO
    ZIP 80751
  • Facility Phone: 970 522-8340
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REGINA BOERNER
  • NPI Number: 1487671749
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2128401
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-0924
Street 1510 W MAIN ST
City STERLING
State CO
ZIP 80751
Phone 970 522-8340
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 REGINA BOERNER

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