53D2223259 CLIA NUMBER - WALGREENS #09548

Laboratory Demographics

  • CLIA Code: 53D2223259
  • Facility Name: WALGREENS #09548
  • Facility Address: 1501 DELL RANGE BLVD
    CHEYENNE, WY
    ZIP 82009
  • Facility Phone: 307 635-5854
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID D. MASTERS
  • NPI Number: 1215942396
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 53D2223259
LAB Type Pharmacy
Facility Name WALGREENS #09548
Street 1501 DELL RANGE BLVD
City CHEYENNE
State WY
ZIP 82009
Phone 307 635-5854
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Pharmacy
Lab Director DAVID D. MASTERS

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