CLIA lab
CLIA 06D2017492: King Soopers #620-57
Wheat Ridge, CO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 06D2017492 belongs to King Soopers #620-57 in Wheat Ridge, CO.
Certificate of Waiver, effective December 13, 2024, expires December 12, 2026.
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
- December 13, 2024
- Certificate expiration
- December 12, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 13, 2010
- 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
- 06D2017492
- Lab name
- King Soopers #620-57
- Address
- 5301 W 38th Ave, Wheat Ridge, CO 80212
- Phone
- (303) 425-7455
- Fax
- (303) 403-2883
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Wheat Ridge, CO
- Advanced Dermatology of ColoradoCertificate of Accreditation, Physician office06D0665898
- Chco - Pediatrics West, IncCertificate of Waiver, Physician office06D0987923
- Children's Hospital Colorado - Wheat RidgeCertificate of Compliance, Other06D1076502
- Clear Creek Surgery Center LLCCertificate of Waiver, Ambulatory surgery center06D1034013
- Encompass Women's HealthCertificate of Waiver, Physician office06D2329579
- Grandview Assisted Living LLCCertificate of Waiver, Assisted living facility06D2197191
- Grandview Health and Rehab LLCCertificate of Waiver, Skilled nursing or nursing facility06D0511277
- Intermountain Health Hospice - DenverCertificate of Waiver, Hospice06D2294270
- Jefferson Center for Mental HealthCertificate of Waiver, Other06D1085617
- Kfhp - Wheat Ridge LaboratoryCertificate for Provider-Performed Microscopy Procedures, Physician office06D0664485
Related
Questions
What is the CLIA number for King Soopers #620-57 in Wheat Ridge?
06D2017492, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does King Soopers #620-57 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 06D2017492 expire?
The CMS file lists December 12, 2026 as the certificate expiration date; the certificate took effect December 13, 2024.