06D2157319 CLIA NUMBER - WALMART PHARMACY #10-1058

Laboratory Demographics

  • CLIA Code: 06D2157319
  • Facility Name: WALMART PHARMACY #10-1058
  • Facility Address: 16750 SOUTH TOWNSEND AVE
    MONTROSE, CO
    ZIP 81401
  • Facility Phone: 970 249-7742
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GREGORY L. REYNOLDS
  • NPI Number: 1003833369
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2157319
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1058
Street 16750 SOUTH TOWNSEND AVE
City MONTROSE
State CO
ZIP 81401
Phone 970 249-7742
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 GREGORY L. REYNOLDS

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