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06D2100178 CLIA NUMBER - KING SOOPERS PHARMACY #115

Laboratory Demographics

CLIA Number: 06D2100178

Facility Name: KING SOOPERS PHARMACY #115

Facility Address:
1950 CHESTNUT PLACE
DENVER, CO
ZIP 80202
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Facility Phone Number: 303 678-2443

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1437546215

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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
CertificateType 4
CertificateEffectiveDate 8/10/2023
CertificateExpirationDate 8/9/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024