06D2017498 CLIA NUMBER - KING SOOPERS #63

Laboratory Demographics

  • CLIA Code: 06D2017498
  • Facility Name: KING SOOPERS #63
  • Facility Address: 8200 S HOLLY
    CENTENNIAL, CO
    ZIP 80122
  • Facility Phone: 303 779-4242
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1871638841
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2017498
LAB Type Pharmacy
Facility Name KING SOOPERS #63
Street 8200 S HOLLY
City CENTENNIAL
State CO
ZIP 80122
Phone 303 779-4242
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

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This page was last updated on: 9/29/2025