06D2017453 CLIA NUMBER - KING SOOPERS #620-019

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Laboratory Demographics

CLIA Number: 06D2017453

Facility Name: KING SOOPERS #620-019

Facility Address:
3100 SOUTH SHERIDAN
DENVER, CO
ZIP 80227
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Facility Phone Number: 303 937-4404

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1740216217

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	06D2017453
LAB Type	Pharmacy
Facility Name	KING SOOPERS #620-019
Street	3100 SOUTH SHERIDAN
City	DENVER
State	CO
ZIP	80227
Phone	303 937-4404
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