06D2287345 CLIA NUMBER - WALGREENS 07022

Laboratory Demographics

  • CLIA Code: 06D2287345
  • Facility Name: WALGREENS 07022
  • Facility Address: 7910 FOUNTAIN MESA RD
    FOUNTAIN, CO
    ZIP 80817
  • Facility Phone: 719 382-0427
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDI N. THOMPSON
  • NPI Number: 1881312361
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 06D2287345
LAB Type Pharmacy
Facility Name WALGREENS 07022
Street 7910 FOUNTAIN MESA RD
City FOUNTAIN
State CO
ZIP 80817
Phone 719 382-0427
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director BRANDI N. THOMPSON

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