02D2082287 CLIA NUMBER - SAFEWAY PHARMACY #1090

Laboratory Demographics

  • CLIA Code: 02D2082287
  • Facility Name: SAFEWAY PHARMACY #1090
  • Facility Address: 2685 MILL BAY ROAD
    KODIAK, AK
    ZIP 99615
  • Facility Phone: 907 481-1560
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OLGA BROPHY
  • NPI Number: 1568491504
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 02D2082287
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1090
Street 2685 MILL BAY ROAD
City KODIAK
State AK
ZIP 99615
Phone 907 481-1560
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Pharmacy
Lab Director OLGA BROPHY

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