53D2224530 CLIA NUMBER - WALGREENS #07928

Laboratory Demographics

  • CLIA Code: 53D2224530
  • Facility Name: WALGREENS #07928
  • Facility Address: 2000 S DOUGLAS HWY
    GILLETTE, WY
    ZIP 82718
  • Facility Phone: 307 682-4517
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA J. KNUST
  • NPI Number: 1497760573
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 53D2224530
LAB Type Pharmacy
Facility Name WALGREENS #07928
Street 2000 S DOUGLAS HWY
City GILLETTE
State WY
ZIP 82718
Phone 307 682-4517
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Pharmacy
Lab Director JESSICA J. KNUST

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