06D2156453 CLIA NUMBER - WALMART PHARMACY 10-2672

Laboratory Demographics

  • CLIA Code: 06D2156453
  • Facility Name: WALMART PHARMACY 10-2672
  • Facility Address: 1432 E OLIVE ST
    LAMAR, CO
    ZIP 81052
  • Facility Phone: 719 336-0541
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PATRICK L. MILLS
  • NPI Number: 1497772768
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2156453
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2672
Street 1432 E OLIVE ST
City LAMAR
State CO
ZIP 81052
Phone 719 336-0541
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 PATRICK L. MILLS

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