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06D2229858 CLIA NUMBER - WALGREENS #07006

Laboratory Demographics

CLIA Number: 06D2229858

Facility Name: WALGREENS #07006

Facility Address:
191 S MCCASLIN BLVD
SUPERIOR, CO
ZIP 80027
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Facility Phone Number: 303 666-7816

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1639185036

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 06D2229858
LAB Type Pharmacy
Facility Name WALGREENS #07006
Street 191 S MCCASLIN BLVD
City SUPERIOR
State CO
ZIP 80027
Phone 303 666-7816
CertificateType 4
CertificateEffectiveDate 7/16/2023
CertificateExpirationDate 7/15/2025
FacilityType Waiver

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