53D2288211 CLIA NUMBER - WALGREENS 15606

Laboratory Demographics

  • CLIA Code: 53D2288211
  • Facility Name: WALGREENS 15606
  • Facility Address: 4005 E GRAND AVE
    LARAMIE, WY
    ZIP 82070
  • Facility Phone: 307 745-1557
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAIGE C. NELSON
  • NPI Number: 1134463359
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 53D2288211
LAB Type Pharmacy
Facility Name WALGREENS 15606
Street 4005 E GRAND AVE
City LARAMIE
State WY
ZIP 82070
Phone 307 745-1557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Pharmacy
Lab Director PAIGE C. NELSON

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