06D2239803 CLIA NUMBER - WALGREENS #11263

Laboratory Demographics

CLIA Number: 06D2239803

Facility Name: WALGREENS #11263

Facility Address:
2600 11TH AVE
GREELEY, CO
ZIP 80631
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Facility Phone Number: 970 475-0554

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1275724221

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	06D2239803
LAB Type	Pharmacy
Facility Name	WALGREENS #11263
Street	2600 11TH AVE
City	GREELEY
State	CO
ZIP	80631
Phone	970 475-0554
CertificateType	4
CertificateEffectiveDate	10/14/2023
CertificateExpirationDate	10/13/2025
FacilityType	Waiver

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