06D2039216 CLIA NUMBER - KING SOOPERS PHARMACY #99

Laboratory Demographics

  • CLIA Code: 06D2039216
  • Facility Name: KING SOOPERS PHARMACY #99
  • Facility Address: 1842 N COLLEGE AVE
    FORT COLLINS, CO
    ZIP 80524
  • Facility Phone: 970 494-6950
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1215233226
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2039216
LAB Type Pharmacy
Facility Name KING SOOPERS PHARMACY #99
Street 1842 N COLLEGE AVE
City FORT COLLINS
State CO
ZIP 80524
Phone 970 494-6950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2024
Certificate Expiration Date 9/4/2026
Facility Type Pharmacy
Lab Director KIMBERLY WARD

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