06D2229837 CLIA NUMBER - WALGREENS #09564

Laboratory Demographics

  • CLIA Code: 06D2229837
  • Facility Name: WALGREENS #09564
  • Facility Address: 2370 W EISENHOWER BLD
    LOVELAND, CO
    ZIP 80537
  • Facility Phone: 970 612-0243
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID R. KOUMA
  • NPI Number: 1679589063
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2229837
LAB Type Pharmacy
Facility Name WALGREENS #09564
Street 2370 W EISENHOWER BLD
City LOVELAND
State CO
ZIP 80537
Phone 970 612-0243
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2023
Certificate Expiration Date 7/15/2025
Facility Type Pharmacy
Lab Director DAVID R. KOUMA

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This page was last updated on: 6/4/2025