06D2017490 CLIA NUMBER - KING SOOPERS #620-056

Home > CLIA Lookup > 06D2017490

Laboratory Demographics

CLIA Number: 06D2017490

Facility Name: KING SOOPERS #620-056

Facility Address:
2727 WEST EVANS AVE
DENVER, CO
ZIP 80219
Get Directions

Facility Phone Number: 303 936-2377

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1912933482

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	06D2017490
LAB Type	Pharmacy
Facility Name	KING SOOPERS #620-056
Street	2727 WEST EVANS AVE
City	DENVER
State	CO
ZIP	80219
Phone	303 936-2377
CertificateType	4
CertificateEffectiveDate	12/13/2022
CertificateExpirationDate	12/12/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024