06D2017505 CLIA NUMBER - KING SOOPERS #75

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Laboratory Demographics

CLIA Number: 06D2017505

Facility Name: KING SOOPERS #75

Facility Address:
12959 S PARKER RD
PARKER, CO
ZIP 80134
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Facility Phone Number: 303 840-7683

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1043255714

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