06D2017576 CLIA NUMBER - CITY MARKET #431

Laboratory Demographics

  • CLIA Code: 06D2017576
  • Facility Name: CITY MARKET #431
  • Facility Address: 777 GOLD HILL PLACE
    WOODLAND PARK, CO
    ZIP 80863
  • Facility Phone: 719 687-6007
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1295720878
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2017576
LAB Type Pharmacy
Facility Name CITY MARKET #431
Street 777 GOLD HILL PLACE
City WOODLAND PARK
State CO
ZIP 80863
Phone 719 687-6007
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

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