06D2224280 CLIA NUMBER - WALGREENS #12100

Laboratory Demographics

  • CLIA Code: 06D2224280
  • Facility Name: WALGREENS #12100
  • Facility Address: 7930 WADSWORTH BLVD
    ARVADA, CO
    ZIP 80003
  • Facility Phone: 303 420-5619
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EILEEN B. MUNOZ
  • NPI Number: 1366457608
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2224280
LAB Type Pharmacy
Facility Name WALGREENS #12100
Street 7930 WADSWORTH BLVD
City ARVADA
State CO
ZIP 80003
Phone 303 420-5619
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Pharmacy
Lab Director EILEEN B. MUNOZ

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