06D2219979 CLIA NUMBER - WALGREENS #09887

Laboratory Demographics

  • CLIA Code: 06D2219979
  • Facility Name: WALGREENS #09887
  • Facility Address: 10140 W COLFAX AVE
    LAKEWOOD, CO
    ZIP 80215
  • Facility Phone: 303 238-0488
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATHAN R. HOLLMAN
  • NPI Number: 1659386993
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2219979
LAB Type Pharmacy
Facility Name WALGREENS #09887
Street 10140 W COLFAX AVE
City LAKEWOOD
State CO
ZIP 80215
Phone 303 238-0488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Pharmacy
Lab Director NATHAN R. HOLLMAN

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