06D2017509 CLIA NUMBER - KING SOOPERS #78

Laboratory Demographics

  • CLIA Code: 06D2017509
  • Facility Name: KING SOOPERS #78
  • Facility Address: 8126 S WADSWORTH BLVD
    LITTLETON, CO
    ZIP 80128
  • Facility Phone: 720 981-4610
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1427113604
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2017509
LAB Type Pharmacy
Facility Name KING SOOPERS #78
Street 8126 S WADSWORTH BLVD
City LITTLETON
State CO
ZIP 80128
Phone 720 981-4610
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