06D2017597 CLIA NUMBER - KING SOOPERS PHARMACY #16

Laboratory Demographics

  • CLIA Code: 06D2017597
  • Facility Name: KING SOOPERS PHARMACY #16
  • Facility Address: 19711 E SMOKY HILL RD
    CENTENNIAL, CO
    ZIP 80016
  • Facility Phone: 303 400-5204
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1780629451
  • Taxonomy: 3336C0003X - Pharmacy

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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
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