CLIA lab
CLIA 06D2128091: Sam's Club Pharmacy #10-4770
Evans, CO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 06D2128091 belongs to Sam's Club Pharmacy #10-4770 in Evans, CO.
Certificate of Waiver, effective March 24, 2025, expires March 23, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 24, 2025
- Certificate expiration
- March 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 24, 2017
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 06D2128091
- Lab name
- Sam's Club Pharmacy #10-4770
- Address
- 3247 23rd Ave, Evans, CO 80620
- Phone
- (970) 330-5739
- Fax
- (970) 330-5951
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Evans, CO
- CSL Plasma, IncCertificate of Compliance, Other06D0862933
- Evans Fire Protection DistrictCertificate of Waiver, Other06D1095175
- Sunrise Monfort Family ClinicCertificate of Compliance, Federally qualified health center06D0670312
- Sunrise Satellite ClinicsCertificate of Waiver, Federally qualified health center06D2094443
- Walgreens #02086Certificate of Waiver, Pharmacy06D2217026
Related
Questions
What is the CLIA number for Sam's Club Pharmacy #10-4770 in Evans?
06D2128091, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sam's Club Pharmacy #10-4770 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 06D2128091 expire?
The CMS file lists March 23, 2027 as the certificate expiration date; the certificate took effect March 24, 2025.