06D2098945 CLIA NUMBER - KING SOOPERS PHARMACY #118

Laboratory Demographics

  • CLIA Code: 06D2098945
  • Facility Name: KING SOOPERS PHARMACY #118
  • Facility Address: 2355 W 136TH ST
    BROOMFIELD, CO
    ZIP 80023
  • Facility Phone: 303 920-3050
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1144463076
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2098945
LAB Type Pharmacy
Facility Name KING SOOPERS PHARMACY #118
Street 2355 W 136TH ST
City BROOMFIELD
State CO
ZIP 80023
Phone 303 920-3050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Pharmacy
Lab Director KIMBERLY WARD

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