06D2206323 CLIA NUMBER - WALGREENS #18340

Laboratory Demographics

  • CLIA Code: 06D2206323
  • Facility Name: WALGREENS #18340
  • Facility Address: 1103 WEST PROSPECT ST
    FORT COLLINS, CO
    ZIP 80526
  • Facility Phone: 970 221-3073
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KYLEE C. GOLDSMITH
  • NPI Number: 1003339474
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2206323
LAB Type Pharmacy
Facility Name WALGREENS #18340
Street 1103 WEST PROSPECT ST
City FORT COLLINS
State CO
ZIP 80526
Phone 970 221-3073
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Pharmacy
Lab Director KYLEE C. GOLDSMITH

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