CLIA lab
CLIA 06D2017499: King Soopers #64
Evergreen, CO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 06D2017499 belongs to King Soopers #64 in Evergreen, 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
- 06D2017499
- Lab name
- King Soopers #64
- Address
- 1173 Bergen Pkwy, Evergreen, CO 80439
- Phone
- (303) 674-8246
- Fax
- (303) 678-6840
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for King Soopers #64 in Evergreen?
06D2017499, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does King Soopers #64 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 06D2017499 expire?
The CMS file lists December 12, 2026 as the certificate expiration date; the certificate took effect December 13, 2024.