06D2220577 CLIA NUMBER - WALGREENS #03499

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Laboratory Demographics

CLIA Number: 06D2220577

Facility Name: WALGREENS #03499

Facility Address:
11602 W 64TH AVE
ARVADA, CO
ZIP 80004
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Facility Phone Number: 303 421-5237

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1295740538

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	06D2220577
LAB Type	Pharmacy
Facility Name	WALGREENS #03499
Street	11602 W 64TH AVE
City	ARVADA
State	CO
ZIP	80004
Phone	303 421-5237
CertificateType	4
CertificateEffectiveDate	4/13/2023
CertificateExpirationDate	4/12/2025
FacilityType	Waiver

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