06D2017513 CLIA NUMBER - KING SOOPERS #84

Laboratory Demographics

  • CLIA Code: 06D2017513
  • Facility Name: KING SOOPERS #84
  • Facility Address: 6412 S PARKER RD
    AURORA, CO
    ZIP 80016
  • Facility Phone: 303 627-6111
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1770528440
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2017513
LAB Type Pharmacy
Facility Name KING SOOPERS #84
Street 6412 S PARKER RD
City AURORA
State CO
ZIP 80016
Phone 303 627-6111
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