06D2017542 CLIA NUMBER - KING SOOPERS #103

Laboratory Demographics

  • CLIA Code: 06D2017542
  • Facility Name: KING SOOPERS #103
  • Facility Address: 2910 S ACADEMY BLVD
    COLORADO SPRINGS, CO
    ZIP 80916
  • Facility Phone: 719 393-9688
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1952337206
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2017542
LAB Type Pharmacy
Facility Name KING SOOPERS #103
Street 2910 S ACADEMY BLVD
City COLORADO SPRINGS
State CO
ZIP 80916
Phone 719 393-9688
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

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025