06D2287193 CLIA NUMBER - WALGREENS 11864

Laboratory Demographics

  • CLIA Code: 06D2287193
  • Facility Name: WALGREENS 11864
  • Facility Address: 4315 CENTENNIAL BLVD
    COLORADO SPRINGS, CO
    ZIP 80907
  • Facility Phone: 719 264-1400
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GREGORY CARTER
  • NPI Number: 1295944411
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2287193
LAB Type Pharmacy
Facility Name WALGREENS 11864
Street 4315 CENTENNIAL BLVD
City COLORADO SPRINGS
State CO
ZIP 80907
Phone 719 264-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director GREGORY CARTER

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