06D2055107 CLIA NUMBER - KING SOOPERS PHARMACY #111

Laboratory Demographics

  • CLIA Code: 06D2055107
  • Facility Name: KING SOOPERS PHARMACY #111
  • Facility Address: 3495 S UNIVERSITY BLVD
    ENGLEWOOD, CO
    ZIP 80113
  • Facility Phone: 303 806-2770
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1255683868
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2055107
LAB Type Pharmacy
Facility Name KING SOOPERS PHARMACY #111
Street 3495 S UNIVERSITY BLVD
City ENGLEWOOD
State CO
ZIP 80113
Phone 303 806-2770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Pharmacy
Lab Director KIMBERLY WARD

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