06D2109297 CLIA NUMBER - CITY MARKET PHARMACY #444

Laboratory Demographics

  • CLIA Code: 06D2109297
  • Facility Name: CITY MARKET PHARMACY #444
  • Facility Address: 2600 NORTH 12TH ST ATTN PHARMACIST IN CHARGE
    GRAND JUNCTION, CO
    ZIP 81501
  • Facility Phone: 303 778-3398
  • Facility Type: Other - RETAIL PHARMACY
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1750641684
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2109297
LAB Type Other - RETAIL PHARMACY
Facility Name CITY MARKET PHARMACY #444
Street 2600 NORTH 12TH ST ATTN PHARMACIST IN CHARGE
City GRAND JUNCTION
State CO
ZIP 81501
Phone 303 778-3398
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Other - RETAIL PHARMACY
Lab Director KIMBERLY WARD

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