06D1029511 CLIA NUMBER - KING SOOPERS PHARMACY CARE CENTER #72

Laboratory Demographics

CLIA Number: 06D1029511

Facility Name: KING SOOPERS PHARMACY CARE CENTER #72

Facility Address:
2750 S COLORADO BLVD
DENVER, CO
ZIP 80222
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Facility Phone Number: 303 512-0449

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1679519763

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	06D1029511
LAB Type	Pharmacy
Facility Name	KING SOOPERS PHARMACY CARE CENTER #72
Street	2750 S COLORADO BLVD
City	DENVER
State	CO
ZIP	80222
Phone	303 512-0449
CertificateType	4
CertificateEffectiveDate	8/18/2022
CertificateExpirationDate	8/17/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024