06D2017516 CLIA NUMBER - KING SOOPERS #87

Laboratory Demographics

  • CLIA Code: 06D2017516
  • Facility Name: KING SOOPERS #87
  • Facility Address: 25637 CONIFER RD
    CONIFER, CO
    ZIP 80433
  • Facility Phone: (303) 816-4970
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1023053790
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2017516
LAB Type Pharmacy
Facility Name KING SOOPERS #87
Street 25637 CONIFER RD
City CONIFER
State CO
ZIP 80433
Phone 3038164970
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: 5/18/2026