02D2010295 CLIA NUMBER - SAFEWAY PHARMACY #3410

Laboratory Demographics

  • CLIA Code: 02D2010295
  • Facility Name: SAFEWAY PHARMACY #3410
  • Facility Address: 30 COLLEGE ROAD
    FAIRBANKS, AK
    ZIP 99701
  • Facility Phone: 907 374-4160
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OLGA BROPHY
  • NPI Number: 1003845041
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 02D2010295
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #3410
Street 30 COLLEGE ROAD
City FAIRBANKS
State AK
ZIP 99701
Phone 907 374-4160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Pharmacy
Lab Director OLGA BROPHY

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This page was last updated on: 9/29/2025