06D2017574 CLIA NUMBER - CITY MARKET #426

Laboratory Demographics

  • CLIA Code: 06D2017574
  • Facility Name: CITY MARKET #426
  • Facility Address: 0260 BEAVER CREEK PLACE
    AVON, CO
    ZIP 81620
  • Facility Phone: 970 949-5437
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1003842576
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2017574
LAB Type Pharmacy
Facility Name CITY MARKET #426
Street 0260 BEAVER CREEK PLACE
City AVON
State CO
ZIP 81620
Phone 970 949-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Pharmacy
Lab Director KIMBERLY WARD

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