06D2287252 CLIA NUMBER - WALGREENS 19103

Laboratory Demographics

  • CLIA Code: 06D2287252
  • Facility Name: WALGREENS 19103
  • Facility Address: 4800 BASELINE RD
    BOULDER, CO
    ZIP 80303
  • Facility Phone: 303 499-1919
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM E. WOLANSKI
  • NPI Number: 1578086922
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2287252
LAB Type Pharmacy
Facility Name WALGREENS 19103
Street 4800 BASELINE RD
City BOULDER
State CO
ZIP 80303
Phone 303 499-1919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Pharmacy
Lab Director WILLIAM E. WOLANSKI

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