06D2155989 CLIA NUMBER - WALMART PHARMACY 10-962

Laboratory Demographics

  • CLIA Code: 06D2155989
  • Facility Name: WALMART PHARMACY 10-962
  • Facility Address: 2921 TOUPAL DR
    TRINIDAD, CO
    ZIP 81082
  • Facility Phone: 719 846-3358
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL CERNOIA
  • NPI Number: 1831116193
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2155989
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-962
Street 2921 TOUPAL DR
City TRINIDAD
State CO
ZIP 81082
Phone 719 846-3358
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 MICHAEL CERNOIA

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