06D2224728 CLIA NUMBER - WALGREENS #04596

Laboratory Demographics

  • CLIA Code: 06D2224728
  • Facility Name: WALGREENS #04596
  • Facility Address: 1920 S CHELTON ROAD
    COLORADO SPRINGS, CO
    ZIP 80916
  • Facility Phone: 719 570-1618
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLES S. LYON
  • NPI Number: 1821003161
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2224728
LAB Type Pharmacy
Facility Name WALGREENS #04596
Street 1920 S CHELTON ROAD
City COLORADO SPRINGS
State CO
ZIP 80916
Phone 719 570-1618
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Pharmacy
Lab Director CHARLES S. LYON

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