06D2181384 CLIA NUMBER - BUENA VISTA DRUG

Laboratory Demographics

  • CLIA Code: 06D2181384
  • Facility Name: BUENA VISTA DRUG
  • Facility Address: 403 US HWY 24 SOUTH
    BUENA VISTA, CO
    ZIP 81211
  • Facility Phone: (719) 395-2481
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LUCAS SMITH
  • NPI Number: 1316052343
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2181384
LAB Type Pharmacy
Facility Name BUENA VISTA DRUG
Street 403 US HWY 24 SOUTH
City BUENA VISTA
State CO
ZIP 81211
Phone 7193952481
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2026
Certificate Expiration Date 4/1/2028
Facility Type Pharmacy
Lab Director LUCAS SMITH

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This page was last updated on: 5/18/2026