06D2156449 CLIA NUMBER - WALMART PHARMACY 10-4747

Laboratory Demographics

  • CLIA Code: 06D2156449
  • Facility Name: WALMART PHARMACY 10-4747
  • Facility Address: 10755 WASHINGTON ST
    NORTHGLENN, CO
    ZIP 80233
  • Facility Phone: 303 200-1492
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: INESSA GERSHTEYN
  • NPI Number: 1952729253
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2156449
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4747
Street 10755 WASHINGTON ST
City NORTHGLENN
State CO
ZIP 80233
Phone 303 200-1492
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Pharmacy
Lab Director INESSA GERSHTEYN

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