06D2017597 CLIA NUMBER - KING SOOPERS PHARMACY #16

Home > CLIA Lookup > 06D2017597

Laboratory Demographics

CLIA Number: 06D2017597

Facility Name: KING SOOPERS PHARMACY #16

Facility Address:
19711 E SMOKY HILL RD
CENTENNIAL, CO
ZIP 80016
Get Directions

Facility Phone Number: 303 400-5204

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1780629451

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	06D2017597
LAB Type	Pharmacy
Facility Name	KING SOOPERS PHARMACY #16
Street	19711 E SMOKY HILL RD
City	CENTENNIAL
State	CO
ZIP	80016
Phone	303 400-5204
CertificateType	4
CertificateEffectiveDate	12/14/2022
CertificateExpirationDate	12/13/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024