06D2217028 CLIA NUMBER - WALGREENS #03091

Laboratory Demographics

CLIA Number: 06D2217028

Facility Name: WALGREENS #03091

Facility Address:
8151 S QUEBEC ST
CENTENNIAL, CO
ZIP 80112
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Facility Phone Number: 303 694-2136

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1124173562

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	06D2217028
LAB Type	Pharmacy
Facility Name	WALGREENS #03091
Street	8151 S QUEBEC ST
City	CENTENNIAL
State	CO
ZIP	80112
Phone	303 694-2136
CertificateType	4
CertificateEffectiveDate	3/17/2023
CertificateExpirationDate	3/16/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024