06D2017492 CLIA NUMBER - KING SOOPERS #620-57

Laboratory Demographics

  • CLIA Code: 06D2017492
  • Facility Name: KING SOOPERS #620-57
  • Facility Address: 5301 W 38TH AVE
    WHEAT RIDGE, CO
    ZIP 80212
  • Facility Phone: 303 425-7455
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1962447888
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2017492
LAB Type Pharmacy
Facility Name KING SOOPERS #620-57
Street 5301 W 38TH AVE
City WHEAT RIDGE
State CO
ZIP 80212
Phone 303 425-7455
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

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