06D2220577 CLIA NUMBER - WALGREENS #03499

Laboratory Demographics

  • CLIA Code: 06D2220577
  • Facility Name: WALGREENS #03499
  • Facility Address: 11602 W 64TH AVE
    ARVADA, CO
    ZIP 80004
  • Facility Phone: 303 421-5237
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAN M. STENGAL
  • NPI Number: 1295740538
  • Taxonomy: 3336C0003X - Pharmacy

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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
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 JAN M. STENGAL

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