03D0993729 CLIA NUMBER - SAFEWAY PHARMACY #1510

Laboratory Demographics

  • CLIA Code: 03D0993729
  • Facility Name: SAFEWAY PHARMACY #1510
  • Facility Address: 20205 N 67TH AVE
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 623 572-8844
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AGIE GEORGE
  • NPI Number: 1891724845
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D0993729
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1510
Street 20205 N 67TH AVE
City GLENDALE
State AZ
ZIP 85308
Phone 623 572-8844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Pharmacy
Lab Director AGIE GEORGE

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