06D2156458 CLIA NUMBER - WALMART PHARMACY 10-3177

Laboratory Demographics

  • CLIA Code: 06D2156458
  • Facility Name: WALMART PHARMACY 10-3177
  • Facility Address: 4625 S MASON ST
    FORT COLLINS, CO
    ZIP 80525
  • Facility Phone: (970) 372-3481
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN SMITH
  • NPI Number: 1003156142
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2156458
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3177
Street 4625 S MASON ST
City FORT COLLINS
State CO
ZIP 80525
Phone 9703723481
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 RYAN SMITH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026