06D2291490 CLIA NUMBER - WALGREENS #11326

Laboratory Demographics

  • CLIA Code: 06D2291490
  • Facility Name: WALGREENS #11326
  • Facility Address: 269 DILLON RIDGE RD
    DILLON, CO
    ZIP 80435
  • Facility Phone: 970 468-0287
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC M. WALLACE
  • NPI Number: 1407094519
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2291490
LAB Type Pharmacy
Facility Name WALGREENS #11326
Street 269 DILLON RIDGE RD
City DILLON
State CO
ZIP 80435
Phone 970 468-0287
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Pharmacy
Lab Director ERIC M. WALLACE

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