06D2157317 CLIA NUMBER - WALMART PHARMACY #10-5099

Laboratory Demographics

  • CLIA Code: 06D2157317
  • Facility Name: WALMART PHARMACY #10-5099
  • Facility Address: 2545 RIMROCK AVE
    GRAND JUNCTION, CO
    ZIP 81505
  • Facility Phone: 970 248-0812
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. GREGORY L. REYNOLDS
  • NPI Number: 1700967189
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 06D2157317
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-5099
Street 2545 RIMROCK AVE
City GRAND JUNCTION
State CO
ZIP 81505
Phone 970 248-0812
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 DR. GREGORY L. REYNOLDS

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