06D2315554 CLIA NUMBER - KING SOOPERS #620-151

Laboratory Demographics

  • CLIA Code: 06D2315554
  • Facility Name: KING SOOPERS #620-151
  • Facility Address: 2731 NORTH GATE BLVD
    COLORADO SPRINGS, CO
    ZIP 80921
  • Facility Phone: 719 254-6076
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIM WARD
  • NPI Number: 1396781480
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2315554
LAB Type Pharmacy
Facility Name KING SOOPERS #620-151
Street 2731 NORTH GATE BLVD
City COLORADO SPRINGS
State CO
ZIP 80921
Phone 719 254-6076
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Pharmacy
Lab Director KIM WARD

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