CLIA lab
CLIA 06D2017543: King Soopers #104
Windsor, CO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 06D2017543 belongs to King Soopers #104 in Windsor, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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
- 06D2017543
- Lab name
- King Soopers #104
- Address
- 1520 Main St, Windsor, CO 80550
- Phone
- (970) 674-2840
- Fax
- (970) 674-2834
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.
Other labs in Windsor, CO
- Aesthetika Wellness and Med SpaCertificate of Waiver, Other practitioner06D2327085
- Banner FT Collins PCP LLCCertificate for Provider-Performed Microscopy Procedures, Physician office06D2327695
- Banner Health Physicians Colorado LLCCertificate of Waiver, Physician office06D0516468
- Boost Home Healthcare Northern ColoradoCertificate of Waiver, Home health agency06D2267913
- Columbine Commons Assisted Living LLCCertificate of Waiver, Assisted living facility06D2068183
- Columbine Commons Health and Rehab LLCCertificate of Waiver, Skilled nursing or nursing facility06D2068187
- Good Samaritan SocietyCertificate of Waiver, Assisted living facility06D2195640
- Origin Healthcare, PCCertificate of Waiver, Other06D2295603
- Pelican Pointe Health and Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility06D0888352
- Safeway Pharmacy #1791Certificate of Waiver, Pharmacy06D2075352
Related
Questions
What is the CLIA number for King Soopers #104 in Windsor?
06D2017543, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does King Soopers #104 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 06D2017543 expire?
The CMS file lists December 12, 2026 as the certificate expiration date; the certificate took effect December 13, 2024.