06D2220574 CLIA NUMBER - WALGREENS #07777

Laboratory Demographics

  • CLIA Code: 06D2220574
  • Facility Name: WALGREENS #07777
  • Facility Address: 625 N 19TH ST
    COLORADO SPRINGS, CO
    ZIP 80904
  • Facility Phone: 719 473-8834
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GREGORY S. CARTER
  • NPI Number: 1003821349
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2220574
LAB Type Pharmacy
Facility Name WALGREENS #07777
Street 625 N 19TH ST
City COLORADO SPRINGS
State CO
ZIP 80904
Phone 719 473-8834
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Pharmacy
Lab Director GREGORY S. CARTER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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