02D2082392 CLIA NUMBER - SAFEWAY PHARMACY #1821

Laboratory Demographics

  • CLIA Code: 02D2082392
  • Facility Name: SAFEWAY PHARMACY #1821
  • Facility Address: 301 N SANTA CLAUS LN
    NORTH POLE, AK
    ZIP 99705
  • Facility Phone: 907 490-2760
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OLGA BROPHY
  • NPI Number: 1194754135
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 02D2082392
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1821
Street 301 N SANTA CLAUS LN
City NORTH POLE
State AK
ZIP 99705
Phone 907 490-2760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Pharmacy
Lab Director OLGA BROPHY

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