CLIA lab

CLIA 06D2349781: Jack's Market Pharmacy

Monte Vista, CO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 06D2349781 belongs to Jack's Market Pharmacy in Monte Vista, CO.

Certificate of Waiver, effective August 27, 2026, expires August 26, 2028.

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
August 27, 2026
Certificate expiration
August 26, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 27, 2026
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
06D2349781
Lab name
Jack's Market Pharmacy
Address
222 Solar Ave, Monte Vista, CO 81144
Phone
(719) 852-9894
Fax
(719) 852-9897

Annual test volume the lab reported

Waived tests
250

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Jack's Market Pharmacy in Monte Vista?

06D2349781, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jack's Market Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 06D2349781 expire?

The CMS file lists August 26, 2028 as the certificate expiration date; the certificate took effect August 27, 2026.

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