53D2231634 CLIA NUMBER - WALGREENS #05838

Laboratory Demographics

  • CLIA Code: 53D2231634
  • Facility Name: WALGREENS #05838
  • Facility Address: 2304 E LINCOLNWAY
    CHEYENNE, WY
    ZIP 82001
  • Facility Phone: 307 635-0241
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TANA ARBURY
  • NPI Number: 1861407942
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Pharmacy
Lab Director TANA ARBURY

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