06D2015206 CLIA NUMBER - CITY MARKET #429

Laboratory Demographics

  • CLIA Code: 06D2015206
  • Facility Name: CITY MARKET #429
  • Facility Address: 215 6TH ST
    HOTCHKISS, CO
    ZIP 81419
  • Facility Phone: 970 872-2623
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1588600670
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2015206
LAB Type Pharmacy
Facility Name CITY MARKET #429
Street 215 6TH ST
City HOTCHKISS
State CO
ZIP 81419
Phone 970 872-2623
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Pharmacy
Lab Director KIMBERLY WARD

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