06D2136242 CLIA NUMBER - WALMART PHARMACY #10-5123

Laboratory Demographics

  • CLIA Code: 06D2136242
  • Facility Name: WALMART PHARMACY #10-5123
  • Facility Address: 5550 E WOODMEN RD
    COLORADO SPRINGS, CO
    ZIP 80920
  • Facility Phone: 719 531-6833
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STACEY A. FREISS
  • NPI Number: 1336168319
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2136242
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-5123
Street 5550 E WOODMEN RD
City COLORADO SPRINGS
State CO
ZIP 80920
Phone 719 531-6833
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 STACEY A. FREISS

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