06D2156010 CLIA NUMBER - WALMART PHARMACY 10-4491

Laboratory Demographics

  • CLIA Code: 06D2156010
  • Facility Name: WALMART PHARMACY 10-4491
  • Facility Address: 541 WARRIOR WAY
    GRAND JUNCTION, CO
    ZIP 81504
  • Facility Phone: 970 208-0041
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VINCENT D. CAMPBELL
  • NPI Number: 1275916066
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2156010
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4491
Street 541 WARRIOR WAY
City GRAND JUNCTION
State CO
ZIP 81504
Phone 970 208-0041
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 VINCENT D. CAMPBELL

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