06D2157314 CLIA NUMBER - WALMART PHARMACY #10-4599

Laboratory Demographics

  • CLIA Code: 06D2157314
  • Facility Name: WALMART PHARMACY #10-4599
  • Facility Address: 4500 WEITZEL ST
    TIMNATH, CO
    ZIP 80547
  • Facility Phone: 970 493-4285
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREA L. PHILOP
  • NPI Number: 1043450927
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2157314
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-4599
Street 4500 WEITZEL ST
City TIMNATH
State CO
ZIP 80547
Phone 970 493-4285
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 ANDREA L. PHILOP

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