06D2155979 CLIA NUMBER - WALMART PHARMACY #10-1434

Laboratory Demographics

  • CLIA Code: 06D2155979
  • Facility Name: WALMART PHARMACY #10-1434
  • Facility Address: 707 S 8TH ST
    COLORADO SPRINGS, CO
    ZIP 80905
  • Facility Phone: 719 633-7511
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ADRIENNA J. RASCHE
  • NPI Number: 1285651547
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2155979
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1434
Street 707 S 8TH ST
City COLORADO SPRINGS
State CO
ZIP 80905
Phone 719 633-7511
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 ADRIENNA J. RASCHE

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This page was last updated on: 3/20/2025