CLIA lab
CLIA 06D2017548: King Soopers #112
Bennett, CO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 06D2017548 belongs to King Soopers #112 in Bennett, 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
- 06D2017548
- Lab name
- King Soopers #112
- Address
- 1045 S 1st St, Bennett, CO 80102
- Phone
- (303) 644-5080
- Fax
- (303) 644-5736
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 Bennett, CO
Related
Questions
What is the CLIA number for King Soopers #112 in Bennett?
06D2017548, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does King Soopers #112 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 06D2017548 expire?
The CMS file lists December 12, 2026 as the certificate expiration date; the certificate took effect December 13, 2024.