06D2017579 CLIA NUMBER - CITY MARKET #434

Laboratory Demographics

  • CLIA Code: 06D2017579
  • Facility Name: CITY MARKET #434
  • Facility Address: 0103 MARKET ST
    EAGLE, CO
    ZIP 81631
  • Facility Phone: (970) 328-1311
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1760428858
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2017579
LAB Type Pharmacy
Facility Name CITY MARKET #434
Street 0103 MARKET ST
City EAGLE
State CO
ZIP 81631
Phone 9703281311
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: 5/18/2026