06D2290432 CLIA NUMBER - WALGREENS 02482

Laboratory Demographics

  • CLIA Code: 06D2290432
  • Facility Name: WALGREENS 02482
  • Facility Address: 1830 30TH ST
    BOULDER, CO
    ZIP 80301
  • Facility Phone: 303 444-0407
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAMILLE A. GAGLIARDO
  • NPI Number: 1770808909
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2290432
LAB Type Pharmacy
Facility Name WALGREENS 02482
Street 1830 30TH ST
City BOULDER
State CO
ZIP 80301
Phone 303 444-0407
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Pharmacy
Lab Director CAMILLE A. GAGLIARDO

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