06D2157311 CLIA NUMBER - WALMART PHARMACY 10-953

Laboratory Demographics

  • CLIA Code: 06D2157311
  • Facility Name: WALMART PHARMACY 10-953
  • Facility Address: 1325 DENVER AVE
    LOVELAND, CO
    ZIP 80537
  • Facility Phone: 970 669-3891
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CRAIG D. TOLLEFSON
  • NPI Number: 1013934371
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2157311
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-953
Street 1325 DENVER AVE
City LOVELAND
State CO
ZIP 80537
Phone 970 669-3891
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 CRAIG D. TOLLEFSON

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