06D2100178 CLIA NUMBER - KING SOOPERS PHARMACY #115

Laboratory Demographics

  • CLIA Code: 06D2100178
  • Facility Name: KING SOOPERS PHARMACY #115
  • Facility Address: 1950 CHESTNUT PLACE
    DENVER, CO
    ZIP 80202
  • Facility Phone: 303 678-2443
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1437546215
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2100178
LAB Type Pharmacy
Facility Name KING SOOPERS PHARMACY #115
Street 1950 CHESTNUT PLACE
City DENVER
State CO
ZIP 80202
Phone 303 678-2443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director KIMBERLY WARD

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