06D2017528 CLIA NUMBER - KING SOOPERS #96

Laboratory Demographics

  • CLIA Code: 06D2017528
  • Facility Name: KING SOOPERS #96
  • Facility Address: 6000 S HOLLY ST
    GREENWOOD VILLAGE, CO
    ZIP 80111
  • Facility Phone: (720) 488-3405
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1255369344
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2017528
LAB Type Pharmacy
Facility Name KING SOOPERS #96
Street 6000 S HOLLY ST
City GREENWOOD VILLAGE
State CO
ZIP 80111
Phone 7204883405
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