06D2017444 CLIA NUMBER - KING SOOPERS #620-013

Laboratory Demographics

  • CLIA Code: 06D2017444
  • Facility Name: KING SOOPERS #620-013
  • Facility Address: 1375 SOUTH BOULDER ROAD
    LOUISVILLE, CO
    ZIP 80027
  • Facility Phone: 303 673-1818
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1326083098
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2017444
LAB Type Pharmacy
Facility Name KING SOOPERS #620-013
Street 1375 SOUTH BOULDER ROAD
City LOUISVILLE
State CO
ZIP 80027
Phone 303 673-1818
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 WARD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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