06D2220036 CLIA NUMBER - WALGREENS #10370

Laboratory Demographics

  • CLIA Code: 06D2220036
  • Facility Name: WALGREENS #10370
  • Facility Address: 1671 E MAIN ST
    CORTEZ, CO
    ZIP 81321
  • Facility Phone: 970 564-9165
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAN P. SAGE
  • NPI Number: 1477639417
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2220036
LAB Type Pharmacy
Facility Name WALGREENS #10370
Street 1671 E MAIN ST
City CORTEZ
State CO
ZIP 81321
Phone 970 564-9165
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 DAN P. SAGE

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