06D2156540 CLIA NUMBER - WALMART PHARMACY 10-4377

Laboratory Demographics

  • CLIA Code: 06D2156540
  • Facility Name: WALMART PHARMACY 10-4377
  • Facility Address: 2000 W VICTORY WAY
    CRAIG, CO
    ZIP 81625
  • Facility Phone: 970 824-0317
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OLGA RUNDBERG
  • NPI Number: 1952501710
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2156540
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4377
Street 2000 W VICTORY WAY
City CRAIG
State CO
ZIP 81625
Phone 970 824-0317
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Pharmacy
Lab Director OLGA RUNDBERG

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: 9/29/2025