06D2176931 CLIA NUMBER - WALMART PHARMACY #10-1008

Laboratory Demographics

  • CLIA Code: 06D2176931
  • Facility Name: WALMART PHARMACY #10-1008
  • Facility Address: 250 W 65TH ST
    LOVELAND, CO
    ZIP 80538
  • Facility Phone: 970 867-3331
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STACEY A. PUTMAN
  • NPI Number: 1477570737
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2176931
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1008
Street 250 W 65TH ST
City LOVELAND
State CO
ZIP 80538
Phone 970 867-3331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type Pharmacy
Lab Director STACEY A. PUTMAN

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