06D2080558 CLIA NUMBER - KING SOOPERS PHARMACY #117

Laboratory Demographics

  • CLIA Code: 06D2080558
  • Facility Name: KING SOOPERS PHARMACY #117
  • Facility Address: KING SOOPERS PHARMACY #117 6922 10TH STREET
    GREELEY, CO
    ZIP 80634
  • Facility Phone: 970 392-4150
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1598069510
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2080558
LAB Type Pharmacy
Facility Name KING SOOPERS PHARMACY #117
Street KING SOOPERS PHARMACY #117 6922 10TH STREET
City GREELEY
State CO
ZIP 80634
Phone 970 392-4150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Pharmacy
Lab Director KIMBERLY WARD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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