06D2131362 CLIA NUMBER - KING SOOPERS PHARMACY

Laboratory Demographics

CLIA Number: 06D2131362

Facility Name: KING SOOPERS PHARMACY

Facility Address:
10406 E MARTIN LUTHER KING BLVD
DENVER, CO
ZIP 80238
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Facility Phone Number: 720 531-6371

Facility Type: Other - Retail Pharm

Certificate Type: Waiver

NPI Number: 1346797867

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	06D2131362
LAB Type	Other - Retail Pharm
Facility Name	KING SOOPERS PHARMACY
Street	10406 E MARTIN LUTHER KING BLVD
City	DENVER
State	CO
ZIP	80238
Phone	720 531-6371
CertificateType	4
CertificateEffectiveDate	5/26/2023
CertificateExpirationDate	5/25/2025
FacilityType	Waiver

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