06D2206331 CLIA NUMBER - WALGREENS #12422

Laboratory Demographics

  • CLIA Code: 06D2206331
  • Facility Name: WALGREENS #12422
  • Facility Address: 15310 E 104TH AVE
    COMMERCE CITY, CO
    ZIP 80022
  • Facility Phone: (303) 928-4084
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AARON BARCELO
  • NPI Number: 1225435654
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2206331
LAB Type Pharmacy
Facility Name WALGREENS #12422
Street 15310 E 104TH AVE
City COMMERCE CITY
State CO
ZIP 80022
Phone 3039284084
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 AARON BARCELO

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This page was last updated on: 5/15/2026