06D2017433 CLIA NUMBER - KING SOOPERS PHARMACY #5

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Laboratory Demographics

CLIA Number: 06D2017433

Facility Name: KING SOOPERS PHARMACY #5

Facility Address:
1355 KRAMERIA
DENVER, CO
ZIP 80220
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Facility Phone Number: 303 388-1689

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1336184357

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	06D2017433
LAB Type	Pharmacy
Facility Name	KING SOOPERS PHARMACY #5
Street	1355 KRAMERIA
City	DENVER
State	CO
ZIP	80220
Phone	303 388-1689
CertificateType	4
CertificateEffectiveDate	12/13/2022
CertificateExpirationDate	12/12/2024
FacilityType	Waiver

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