06D2157310 CLIA NUMBER - WALMART PHARMACY #10-1252

Laboratory Demographics

  • CLIA Code: 06D2157310
  • Facility Name: WALMART PHARMACY #10-1252
  • Facility Address: 6675 BUSINESS CENTER DR
    HIGHLANDS RANCH, CO
    ZIP 80130
  • Facility Phone: 303 683-4179
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RON ABRAHAM
  • NPI Number: 1649297904
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2157310
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1252
Street 6675 BUSINESS CENTER DR
City HIGHLANDS RANCH
State CO
ZIP 80130
Phone 303 683-4179
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Pharmacy
Lab Director RON ABRAHAM

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