06D2136141 CLIA NUMBER - WALMART PHARMACY #10-4567

Laboratory Demographics

  • CLIA Code: 06D2136141
  • Facility Name: WALMART PHARMACY #10-4567
  • Facility Address: 7101 E 128TH AVE
    THORNTON, CO
    ZIP 80602
  • Facility Phone: 303 209-3620
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE M. BRINKLEY
  • NPI Number: 1396060067
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2136141
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-4567
Street 7101 E 128TH AVE
City THORNTON
State CO
ZIP 80602
Phone 303 209-3620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Pharmacy
Lab Director MICHELLE M. BRINKLEY

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