06D2039735 CLIA NUMBER - KING SOOPERS PHARMACY #133

Laboratory Demographics

  • CLIA Code: 06D2039735
  • Facility Name: KING SOOPERS PHARMACY #133
  • Facility Address: 3250 CENTENNIAL BLVD
    COLORADO SPRINGS, CO
    ZIP 80907
  • Facility Phone: 719 325-0344
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1396780060
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2039735
LAB Type Pharmacy
Facility Name KING SOOPERS PHARMACY #133
Street 3250 CENTENNIAL BLVD
City COLORADO SPRINGS
State CO
ZIP 80907
Phone 719 325-0344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Pharmacy
Lab Director KIMBERLY WARD

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