WALGREEN CO.
NPI 1548988017
Clinical Medical Laboratory in Superior, CO

Active since August 19, 2022CLIA 06D2230729 · Waiver
1600 COALTON RD, SUPERIOR, CO 80027(303) 465-3024 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Walgreen Co. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALGREEN CO. (NPI 1548988017), doing business as Walgreens #6467, is a healthcare organization registered as a clinical medical laboratory in Superior, Colorado and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through July 26, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1548988017
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameWALGREEN CO.
Location Address1600 COALTON RDSuperior, CO 80027-4630
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateAugust 19, 2022
NPPES CertifiedAugust 19, 2022
NPI 1548988017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

1600 COALTON RD, Superior, CO 80027

Other Names 1

Doing Business AsWalgreens #6467

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20374409
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D2230729
Facility Type
Pharmacy
Certificate Effective Date
July 27, 2025
Certificate Expiration Date
July 26, 2027
Laboratory Director
TIFFANY A. OUELLETTE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Walgreen Co. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Pharmacist
1600 COALTON RD
SUPERIOR, CO 80027
Pharmacist
1600 COALTON RD
SUPERIOR, CO 80027
Pharmacist
1600 COALTON RD
SUPERIOR, CO 80027
Pharmacist
1600 COALTON RD
SUPERIOR, CO 80027
Pharmacy (Community/Retail Pharmacy)
1600 COALTON RD
SUPERIOR, CO 80027

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548988017, enumerated as an "organization" on August 19, 2022.

The provider is located at 1600 COALTON RD SUPERIOR, CO 80027 and the phone number is (303) 465-3024.

Clinical Medical Laboratory with taxonomy code 291U00000X.