06D2136237 CLIA NUMBER - WALMART PHARMACY #10-5370

Laboratory Demographics

  • CLIA Code: 06D2136237
  • Facility Name: WALMART PHARMACY #10-5370
  • Facility Address: 2514 MAIN ST
    FIRESTONE, CO
    ZIP 80504
  • Facility Phone: 303 774-9419
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KARI A. WIESEN
  • NPI Number: 1124185509
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2136237
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-5370
Street 2514 MAIN ST
City FIRESTONE
State CO
ZIP 80504
Phone 303 774-9419
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Pharmacy
Lab Director KARI A. WIESEN

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