CLIA lab
CLIA 06D0961179: Costco Pharmacy #480
Superior, CO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 06D0961179 belongs to Costco Pharmacy #480 in Superior, CO.
Certificate of Waiver, effective May 28, 2025, expires May 27, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 28, 2025
- Certificate expiration
- May 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 28, 1999
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 06D0961179
- Lab name
- Costco Pharmacy #480
- Address
- 600 Marshall Rd, Superior, CO 80027
- Phone
- (720) 587-1002
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Superior, CO
- Colorado Urologic Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center06D2209263
- Northwest Family Medical Associates,Certificate of Waiver, Physician office06D0510278
- Safeway Pharmacy #1656Certificate of Waiver, Pharmacy06D2075343
- Superior ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office06D2168301
- Superior MedicineCertificate of Waiver, Other06D2326796
- Upson Hall LLCCertificate of Waiver, Other06D2303168
- Upson Hall LLCCertificate of Waiver, Other06D2303169
- Walgreens #06467Certificate of Waiver, Pharmacy06D2230729
- Walgreens #07006Certificate of Waiver, Pharmacy06D2229858
Related
Questions
What is the CLIA number for Costco Pharmacy #480 in Superior?
06D0961179, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Costco Pharmacy #480 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 06D0961179 expire?
The CMS file lists May 27, 2027 as the certificate expiration date; the certificate took effect May 28, 2025.