06D2017478 CLIA NUMBER - KING SOOPERS #620-040

Laboratory Demographics

  • CLIA Code: 06D2017478
  • Facility Name: KING SOOPERS #620-040
  • Facility Address: 12043 W ALAMEDA PKWY
    LAKEWOOD, CO
    ZIP 80228
  • Facility Phone: 303 988-8058
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLEY WARD
  • NPI Number: 1144256496
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2017478
LAB Type Pharmacy
Facility Name KING SOOPERS #620-040
Street 12043 W ALAMEDA PKWY
City LAKEWOOD
State CO
ZIP 80228
Phone 303 988-8058
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 KIMBERLEY 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