06D2017537 CLIA NUMBER - KING SOOPERS #98

Laboratory Demographics

CLIA Number: 06D2017537

Facility Name: KING SOOPERS #98

Facility Address:
6030 STETSON HILLS BLVD
COLORADO SPRINGS, CO
ZIP 80922
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Facility Phone Number: 719 591-4163

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1215972989

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 06D2017537
LAB Type Pharmacy
Facility Name KING SOOPERS #98
Street 6030 STETSON HILLS BLVD
City COLORADO SPRINGS
State CO
ZIP 80922
Phone 719 591-4163
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