06D2222783 CLIA NUMBER - WALGREENS #05794

Laboratory Demographics

  • CLIA Code: 06D2222783
  • Facility Name: WALGREENS #05794
  • Facility Address: 303 S CIRCLE DR
    COLORADO SPRINGS, CO
    ZIP 80910
  • Facility Phone: 719 444-8569
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY E. COOPER
  • NPI Number: 1275548513
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2222783
LAB Type Pharmacy
Facility Name WALGREENS #05794
Street 303 S CIRCLE DR
City COLORADO SPRINGS
State CO
ZIP 80910
Phone 719 444-8569
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Pharmacy
Lab Director MARY E. COOPER

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