06D2136146 CLIA NUMBER - DALE'S PHARMACY

Laboratory Demographics

  • CLIA Code: 06D2136146
  • Facility Name: DALE'S PHARMACY
  • Facility Address: 105 DALES PLACE
    FORT LUPTON, CO
    ZIP 80621
  • Facility Phone: 303 857-6266
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. MARIA GODFREY
  • NPI Number: 1447329099
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2136146
LAB Type Pharmacy
Facility Name DALE'S PHARMACY
Street 105 DALES PLACE
City FORT LUPTON
State CO
ZIP 80621
Phone 303 857-6266
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 DR. MARIA GODFREY

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