06D2141955 CLIA NUMBER - WALMART PHARMACY #10-3824

Laboratory Demographics

  • CLIA Code: 06D2141955
  • Facility Name: WALMART PHARMACY #10-3824
  • Facility Address: 7155 SHERIDAN BLVD
    WESTMINSTER, CO
    ZIP 80003
  • Facility Phone: 303 487-1412
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD D. DZIALLO
  • NPI Number: 1629254073
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2141955
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3824
Street 7155 SHERIDAN BLVD
City WESTMINSTER
State CO
ZIP 80003
Phone 303 487-1412
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Pharmacy
Lab Director RICHARD D. DZIALLO

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