06D2017446 CLIA NUMBER - KING SOOPERS #620-014

Laboratory Demographics

  • CLIA Code: 06D2017446
  • Facility Name: KING SOOPERS #620-014
  • Facility Address: 655 PEORIA STREET
    AURORA, CO
    ZIP 80010
  • Facility Phone: 303 364-9196
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1265460356
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2017446
LAB Type Pharmacy
Facility Name KING SOOPERS #620-014
Street 655 PEORIA STREET
City AURORA
State CO
ZIP 80010
Phone 303 364-9196
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

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