06D2267623 CLIA NUMBER - SALIDA PHARMACY AND FOUNTAIN

Laboratory Demographics

  • CLIA Code: 06D2267623
  • Facility Name: SALIDA PHARMACY AND FOUNTAIN
  • Facility Address: 137 F STREET
    SALIDA, CO
    ZIP 81201
  • Facility Phone: 719 530-4790
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LUCAS SMITH
  • NPI Number: 1740821289
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2267623
LAB Type Pharmacy
Facility Name SALIDA PHARMACY AND FOUNTAIN
Street 137 F STREET
City SALIDA
State CO
ZIP 81201
Phone 719 530-4790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Pharmacy
Lab Director LUCAS SMITH

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