06D2287349 CLIA NUMBER - WALGREENS 05642

Laboratory Demographics

  • CLIA Code: 06D2287349
  • Facility Name: WALGREENS 05642
  • Facility Address: 1811 W US HIGHWAY 50
    PUEBLO, CO
    ZIP 81008
  • Facility Phone: 719 296-8007
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: QUINN A. DEVINNEY
  • NPI Number: 1003534561
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 06D2287349
LAB Type Pharmacy
Facility Name WALGREENS 05642
Street 1811 W US HIGHWAY 50
City PUEBLO
State CO
ZIP 81008
Phone 719 296-8007
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 QUINN A. DEVINNEY

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