06D2224728 CLIA NUMBER - WALGREENS #04596

Laboratory Demographics

CLIA Number: 06D2224728

Facility Name: WALGREENS #04596

Facility Address:
1920 S CHELTON ROAD
COLORADO SPRINGS, CO
ZIP 80916
Get Directions

Facility Phone Number: 719 570-1618

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1821003161

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	06D2224728
LAB Type	Pharmacy
Facility Name	WALGREENS #04596
Street	1920 S CHELTON ROAD
City	COLORADO SPRINGS
State	CO
ZIP	80916
Phone	719 570-1618
CertificateType	4
CertificateEffectiveDate	5/14/2023
CertificateExpirationDate	5/13/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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