06D2156000 CLIA NUMBER - WALMART PHARMACY #10-3867

Laboratory Demographics

  • CLIA Code: 06D2156000
  • Facility Name: WALMART PHARMACY #10-3867
  • Facility Address: 200 W 136TH AVE
    WESTMINSTER, CO
    ZIP 80234
  • Facility Phone: 720 929-1770
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDY S. CRANDELL
  • NPI Number: 1134284193
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2156000
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3867
Street 200 W 136TH AVE
City WESTMINSTER
State CO
ZIP 80234
Phone 720 929-1770
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 ANDY S. CRANDELL

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