06D2155968 CLIA NUMBER - WALMART PHARMACY 10-3227

Laboratory Demographics

  • CLIA Code: 06D2155968
  • Facility Name: WALMART PHARMACY 10-3227
  • Facility Address: 16218 JACKSON CREEK PKWY
    MONUMENT, CO
    ZIP 80132
  • Facility Phone: 719 484-0924
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMILY RENSBURG
  • NPI Number: 1497766919
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2155968
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3227
Street 16218 JACKSON CREEK PKWY
City MONUMENT
State CO
ZIP 80132
Phone 719 484-0924
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Pharmacy
Lab Director EMILY RENSBURG

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