06D2133073 CLIA NUMBER - WALMART PHARMACY #10-5033

Laboratory Demographics

  • CLIA Code: 06D2133073
  • Facility Name: WALMART PHARMACY #10-5033
  • Facility Address: 1300 BARLOW RD
    FORT MORGAN, CO
    ZIP 80701
  • Facility Phone: 970 542-2284
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALAN HAM
  • NPI Number: 1790702074
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2133073
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-5033
Street 1300 BARLOW RD
City FORT MORGAN
State CO
ZIP 80701
Phone 970 542-2284
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2025
Certificate Expiration Date 7/4/2027
Facility Type Pharmacy
Lab Director ALAN HAM

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