06D2289617 CLIA NUMBER - WALGREEN 19273

Laboratory Demographics

  • CLIA Code: 06D2289617
  • Facility Name: WALGREEN 19273
  • Facility Address: 28 TOWN PLAZA
    DURANGO, CO
    ZIP 81301
  • Facility Phone: 970 247-5057
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. WIENOLD
  • NPI Number: 1477076842
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2289617
LAB Type Pharmacy
Facility Name WALGREEN 19273
Street 28 TOWN PLAZA
City DURANGO
State CO
ZIP 81301
Phone 970 247-5057
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Pharmacy
Lab Director JENNIFER L. WIENOLD

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