53D2230826 CLIA NUMBER - WALGREENS #10466

Laboratory Demographics

  • CLIA Code: 53D2230826
  • Facility Name: WALGREENS #10466
  • Facility Address: 845 N FEDERAL BLVD
    RIVERTON, WY
    ZIP 82501
  • Facility Phone: (307) 857-6023
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA P. LOUGHERY
  • NPI Number: 1013096536
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 53D2230826
LAB Type Pharmacy
Facility Name WALGREENS #10466
Street 845 N FEDERAL BLVD
City RIVERTON
State WY
ZIP 82501
Phone 3078576023
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director ANGELA P. LOUGHERY

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This page was last updated on: 5/18/2026