06D2229710 CLIA NUMBER - WALGREENS #17003

Laboratory Demographics

CLIA Number: 06D2229710

Facility Name: WALGREENS #17003

Facility Address:
1013 11TH STREET
GREELEY, CO
ZIP 80631
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Facility Phone Number: 970 304-1218

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1205352960

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 06D2229710
LAB Type Pharmacy
Facility Name WALGREENS #17003
Street 1013 11TH STREET
City GREELEY
State CO
ZIP 80631
Phone 970 304-1218
CertificateType 4
CertificateEffectiveDate 7/15/2023
CertificateExpirationDate 7/14/2025
FacilityType Waiver

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