06D2290443 CLIA NUMBER - WALGREENS 11862

Laboratory Demographics

  • CLIA Code: 06D2290443
  • Facility Name: WALGREENS 11862
  • Facility Address: 743 S LEMAY AVE
    FORT COLLINS, CO
    ZIP 80524
  • Facility Phone: 970 482-5492
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID MASTERS
  • NPI Number: 1740498740
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2290443
LAB Type Pharmacy
Facility Name WALGREENS 11862
Street 743 S LEMAY AVE
City FORT COLLINS
State CO
ZIP 80524
Phone 970 482-5492
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 DAVID MASTERS

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