06D2239803 CLIA NUMBER - WALGREENS #11263

Laboratory Demographics

  • CLIA Code: 06D2239803
  • Facility Name: WALGREENS #11263
  • Facility Address: 2600 11TH AVE
    GREELEY, CO
    ZIP 80631
  • Facility Phone: 970 475-0554
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTIE P. WHITE
  • NPI Number: 1275724221
  • Taxonomy: 3336C0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type Pharmacy
Lab Director KRISTIE P. WHITE

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