06D2135010 CLIA NUMBER - WALMART PHARMACY #10-1231

Laboratory Demographics

  • CLIA Code: 06D2135010
  • Facility Name: WALMART PHARMACY #10-1231
  • Facility Address: 9901 GRANT ST
    THORNTON, CO
    ZIP 80229
  • Facility Phone: 303 451-6404
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN M. RICHARDSON
  • NPI Number: 1730106097
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2135010
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1231
Street 9901 GRANT ST
City THORNTON
State CO
ZIP 80229
Phone 303 451-6404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director JUSTIN M. RICHARDSON

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