06D2038911 CLIA NUMBER - KING SOOPERS PHARMACY #20

Laboratory Demographics

  • CLIA Code: 06D2038911
  • Facility Name: KING SOOPERS PHARMACY #20
  • Facility Address: 3400 YOUNGFIELD ST ATTN PHARMACIST IN CHARGE
    WHEAT RIDGE, CO
    ZIP 80033
  • Facility Phone: 303 238-7301
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1659307122
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2038911
LAB Type Other - RETAIL PHARMACY
Facility Name KING SOOPERS PHARMACY #20
Street 3400 YOUNGFIELD ST ATTN PHARMACIST IN CHARGE
City WHEAT RIDGE
State CO
ZIP 80033
Phone 303 238-7301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Other - RETAIL PHARMACY
Lab Director KIMBERLY WARD

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This page was last updated on: 9/29/2025