06D2176425 CLIA NUMBER - WALMART PHARMACY #10-5458

Laboratory Demographics

  • CLIA Code: 06D2176425
  • Facility Name: WALMART PHARMACY #10-5458
  • Facility Address: 37 STAFFORD LN
    DELTA, CO
    ZIP 81416
  • Facility Phone: 970 874-1692
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAUL A. HAMPTON
  • NPI Number: 1972520252
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2176425
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-5458
Street 37 STAFFORD LN
City DELTA
State CO
ZIP 81416
Phone 970 874-1692
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Pharmacy
Lab Director PAUL A. HAMPTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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