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06D2136141 CLIA NUMBER - WALMART PHARMACY #10-4567

Laboratory Demographics

CLIA Number: 06D2136141

Facility Name: WALMART PHARMACY #10-4567

Facility Address:
7101 E 128TH AVE
THORNTON, CO
ZIP 80602
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Facility Phone Number: 303 209-3620

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1396060067

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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
CertificateType 4
CertificateEffectiveDate 9/5/2023
CertificateExpirationDate 9/4/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024