06D2197694 CLIA NUMBER - FRONT RANGE PHARMACY

Laboratory Demographics

  • CLIA Code: 06D2197694
  • Facility Name: FRONT RANGE PHARMACY
  • Facility Address: 3401 S BROADWAY, UNIT 180
    ENGLEWOOD, CO
    ZIP 80113
  • Facility Phone: (720) 405-5215
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LOGAN BRIDGET
  • NPI Number: 1326773375
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2197694
LAB Type Pharmacy
Facility Name FRONT RANGE PHARMACY
Street 3401 S BROADWAY, UNIT 180
City ENGLEWOOD
State CO
ZIP 80113
Phone 7204055215
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Pharmacy
Lab Director LOGAN BRIDGET

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