06D2141173 CLIA NUMBER - BLENDE DRUG, INC

Laboratory Demographics

  • CLIA Code: 06D2141173
  • Facility Name: BLENDE DRUG, INC
  • Facility Address: 1910 SANTA FE DR
    PUEBLO, CO
    ZIP 81006
  • Facility Phone: 719 542-2477
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN J. CERNAC
  • NPI Number: 1609984194
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2141173
LAB Type Pharmacy
Facility Name BLENDE DRUG, INC
Street 1910 SANTA FE DR
City PUEBLO
State CO
ZIP 81006
Phone 719 542-2477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Pharmacy
Lab Director JOHN J. CERNAC

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