06D2017505 CLIA NUMBER - KING SOOPERS #75

Laboratory Demographics

  • CLIA Code: 06D2017505
  • Facility Name: KING SOOPERS #75
  • Facility Address: 12959 S PARKER RD
    PARKER, CO
    ZIP 80134
  • Facility Phone: 303 840-7683
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1043255714
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2017505
LAB Type Pharmacy
Facility Name KING SOOPERS #75
Street 12959 S PARKER RD
City PARKER
State CO
ZIP 80134
Phone 303 840-7683
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