06D2114651 CLIA NUMBER - KING SOOPERS PHARMACY #126

Laboratory Demographics

  • CLIA Code: 06D2114651
  • Facility Name: KING SOOPERS PHARMACY #126
  • Facility Address: 17761 COTTONWOOD DR
    PARKER, CO
    ZIP 80134
  • Facility Phone: 303 334-9548
  • Facility Type: Other - PHARMACY
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WARD
  • NPI Number: 1881062024
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2114651
LAB Type Other - PHARMACY
Facility Name KING SOOPERS PHARMACY #126
Street 17761 COTTONWOOD DR
City PARKER
State CO
ZIP 80134
Phone 303 334-9548
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type Other - PHARMACY
Lab Director KIMBERLY WARD

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