06D2156007 CLIA NUMBER - WALMART PHARMACY #10-1199

Laboratory Demographics

  • CLIA Code: 06D2156007
  • Facility Name: WALMART PHARMACY #10-1199
  • Facility Address: 171 YODER AVE
    AVON, CO
    ZIP 81620
  • Facility Phone: 970 949-6544
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EDWARD C. FALSON
  • NPI Number: 1326121039
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 06D2156007
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1199
Street 171 YODER AVE
City AVON
State CO
ZIP 81620
Phone 970 949-6544
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 EDWARD C. FALSON

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