06D2230729 CLIA NUMBER - WALGREENS #06467

Laboratory Demographics

  • CLIA Code: 06D2230729
  • Facility Name: WALGREENS #06467
  • Facility Address: 1600 COALTON ROAD
    SUPERIOR, CO
    ZIP 80027
  • Facility Phone: 303 465-3024
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIFFANY A. OUELLETTE
  • NPI Number: 1942216312
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2230729
LAB Type Pharmacy
Facility Name WALGREENS #06467
Street 1600 COALTON ROAD
City SUPERIOR
State CO
ZIP 80027
Phone 303 465-3024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Pharmacy
Lab Director TIFFANY A. OUELLETTE

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