06D2219365 CLIA NUMBER - WALGREENS #09565

Laboratory Demographics

  • CLIA Code: 06D2219365
  • Facility Name: WALGREENS #09565
  • Facility Address: 2614 S COLLEGE AVE
    FORT COLLINS, CO
    ZIP 80525
  • Facility Phone: 970 530-2105
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN S. LESZCZYNSKI
  • NPI Number: 1629083050
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2219365
LAB Type Pharmacy
Facility Name WALGREENS #09565
Street 2614 S COLLEGE AVE
City FORT COLLINS
State CO
ZIP 80525
Phone 970 530-2105
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 JOHN S. LESZCZYNSKI

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