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53D2231634 CLIA NUMBER - WALGREENS #05838

Laboratory Demographics

CLIA Number: 53D2231634

Facility Name: WALGREENS #05838

Facility Address:
2304 E LINCOLNWAY
CHEYENNE, WY
ZIP 82001
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Facility Phone Number: 307 635-0241

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1861407942

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 53D2231634
LAB Type Pharmacy
Facility Name WALGREENS #05838
Street 2304 E LINCOLNWAY
City CHEYENNE
State WY
ZIP 82001
Phone 307 635-0241
CertificateType 4
CertificateEffectiveDate 8/4/2023
CertificateExpirationDate 8/3/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024