06D2156004 CLIA NUMBER - WALMART PHARMACY 10-1045

Laboratory Demographics

  • CLIA Code: 06D2156004
  • Facility Name: WALMART PHARMACY 10-1045
  • Facility Address: 745 US HWY 287
    LAFAYETTE, CO
    ZIP 80026
  • Facility Phone: 303 666-0434
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HYESUNG YIM
  • NPI Number: 1194742452
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2156004
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1045
Street 745 US HWY 287
City LAFAYETTE
State CO
ZIP 80026
Phone 303 666-0434
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 HYESUNG YIM

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