06D2017589 CLIA NUMBER - CITY MARKET #443

Laboratory Demographics

  • CLIA Code: 06D2017589
  • Facility Name: CITY MARKET #443
  • Facility Address: 1320 RAILROAD AVE
    RIFLE, CO
    ZIP 81650
  • Facility Phone: 970 625-9420
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1407882764
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2017589
LAB Type Pharmacy
Facility Name CITY MARKET #443
Street 1320 RAILROAD AVE
City RIFLE
State CO
ZIP 81650
Phone 970 625-9420
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