06D2017431 CLIA NUMBER - KING SOOPERS PHARMACY #109

Laboratory Demographics

  • CLIA Code: 06D2017431
  • Facility Name: KING SOOPERS PHARMACY #109
  • Facility Address: 5050 S FEDERAL BLVD
    ENGLEWOOD, CO
    ZIP 80110
  • Facility Phone: 303 794-6397
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1548605934
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2017431
LAB Type Other - RETAIL PHARMACY
Facility Name KING SOOPERS PHARMACY #109
Street 5050 S FEDERAL BLVD
City ENGLEWOOD
State CO
ZIP 80110
Phone 303 794-6397
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Other - RETAIL PHARMACY
Lab Director KIMBERLY WARD

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