06D2287520 CLIA NUMBER - WALGREENS 03489

Laboratory Demographics

  • CLIA Code: 06D2287520
  • Facility Name: WALGREENS 03489
  • Facility Address: 9390 S UNIVERSITY BLVD
    HIGHLANDS RANCH, CO
    ZIP 80126
  • Facility Phone: 303 683-1159
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETYA HOOPER
  • NPI Number: 1235858309
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 06D2287520
LAB Type Physician Office
Facility Name WALGREENS 03489
Street 9390 S UNIVERSITY BLVD
City HIGHLANDS RANCH
State CO
ZIP 80126
Phone 303 683-1159
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Physician Office
Lab Director PETYA HOOPER

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