06D2219354 CLIA NUMBER - WALGREENS #09561

Laboratory Demographics

  • CLIA Code: 06D2219354
  • Facility Name: WALGREENS #09561
  • Facility Address: 140 PARADISE CIRCLE
    WOODLAND PARK, CO
    ZIP 80863
  • Facility Phone: 719 687-8104
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTI MIHOK
  • NPI Number: 1487669743
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2219354
LAB Type Pharmacy
Facility Name WALGREENS #09561
Street 140 PARADISE CIRCLE
City WOODLAND PARK
State CO
ZIP 80863
Phone 719 687-8104
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Pharmacy
Lab Director KRISTI MIHOK

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This page was last updated on: 9/29/2025