06D2155986 CLIA NUMBER - WALMART PHARMACY #10-1384

Laboratory Demographics

  • CLIA Code: 06D2155986
  • Facility Name: WALMART PHARMACY #10-1384
  • Facility Address: 6 CONLEY RD
    LA JUNTA, CO
    ZIP 81050
  • Facility Phone: 719 384-5954
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMANTHA R. WILLIAMS
  • NPI Number: 1376560631
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2155986
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1384
Street 6 CONLEY RD
City LA JUNTA
State CO
ZIP 81050
Phone 719 384-5954
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 SAMANTHA R. WILLIAMS

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