06D2219927 CLIA NUMBER - WALGREENS #06785

Laboratory Demographics

CLIA Number: 06D2219927

Facility Name: WALGREENS #06785

Facility Address:
835 E 17TH AVE
LONGMONT, CO
ZIP 80504
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Facility Phone Number: 303 651-7468

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1992710321

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 06D2219927
LAB Type Pharmacy
Facility Name WALGREENS #06785
Street 835 E 17TH AVE
City LONGMONT
State CO
ZIP 80504
Phone 303 651-7468
CertificateType 4
CertificateEffectiveDate 4/8/2023
CertificateExpirationDate 4/7/2025
FacilityType Waiver

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