06D2135012 CLIA NUMBER - WALMART PHARMACY 10-980

Laboratory Demographics

  • CLIA Code: 06D2135012
  • Facility Name: WALMART PHARMACY 10-980
  • Facility Address: 3103 S 23RD AVE
    GREELEY, CO
    ZIP 80631
  • Facility Phone: 970 330-4557
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA R. GROVES
  • NPI Number: 1740207000
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2135012
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-980
Street 3103 S 23RD AVE
City GREELEY
State CO
ZIP 80631
Phone 970 330-4557
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 JESSICA R. GROVES

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