06D2267922 CLIA NUMBER - HARRIS PHARMACY

Laboratory Demographics

  • CLIA Code: 06D2267922
  • Facility Name: HARRIS PHARMACY
  • Facility Address: 309 NORTH MAIN ST
    ROCKY FORD, CO
    ZIP 81067
  • Facility Phone: 719 254-3337
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICIAH W. DAVIS
  • NPI Number: 1295866390
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2267922
LAB Type Pharmacy
Facility Name HARRIS PHARMACY
Street 309 NORTH MAIN ST
City ROCKY FORD
State CO
ZIP 81067
Phone 719 254-3337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Pharmacy
Lab Director MICIAH W. DAVIS

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