06D2133074 CLIA NUMBER - WALMART PHARMACY #10-5676

Laboratory Demographics

  • CLIA Code: 06D2133074
  • Facility Name: WALMART PHARMACY #10-5676
  • Facility Address: 2770 WEST EVANS AVE
    DENVER, CO
    ZIP 80219
  • Facility Phone: 303 222-7050
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD N. BOVA
  • NPI Number: 1821410218
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2133074
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-5676
Street 2770 WEST EVANS AVE
City DENVER
State CO
ZIP 80219
Phone 303 222-7050
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 RICHARD N. BOVA

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