06D2017484 CLIA NUMBER - KING SOOPERS #620-047

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Laboratory Demographics

CLIA Number: 06D2017484

Facility Name: KING SOOPERS #620-047

Facility Address:
7575 SOUTH UNIVERSITY
CENTENNIAL, CO
ZIP 80122
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Facility Phone Number: 303 798-2491

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1598700411

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	06D2017484
LAB Type	Pharmacy
Facility Name	KING SOOPERS #620-047
Street	7575 SOUTH UNIVERSITY
City	CENTENNIAL
State	CO
ZIP	80122
Phone	303 798-2491
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