06D0991553 CLIA NUMBER - KING SOOPERS #82

Laboratory Demographics

  • CLIA Code: 06D0991553
  • Facility Name: KING SOOPERS #82
  • Facility Address: 17171 S GOLDEN RD
    GOLDEN, CO
    ZIP 80401
  • Facility Phone: 303 279-5684
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY T. WARD
  • NPI Number: 1952346629
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D0991553
LAB Type Pharmacy
Facility Name KING SOOPERS #82
Street 17171 S GOLDEN RD
City GOLDEN
State CO
ZIP 80401
Phone 303 279-5684
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Pharmacy
Lab Director KIMBERLY T. WARD

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