06D2155980 CLIA NUMBER - WALMART PHARMACY #10-3082

Laboratory Demographics

  • CLIA Code: 06D2155980
  • Facility Name: WALMART PHARMACY #10-3082
  • Facility Address: 1622 S ACADEMY BLVD
    COLORADO SPRINGS, CO
    ZIP 80916
  • Facility Phone: 719 244-9572
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TOFF R. BLANTON
  • NPI Number: 1790029494
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2155980
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3082
Street 1622 S ACADEMY BLVD
City COLORADO SPRINGS
State CO
ZIP 80916
Phone 719 244-9572
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 TOFF R. BLANTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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