03D0993730 CLIA NUMBER - SAFEWAY PHARMACY #1662

Laboratory Demographics

  • CLIA Code: 03D0993730
  • Facility Name: SAFEWAY PHARMACY #1662
  • Facility Address: 10641 W OLIVE AVE
    PEORIA, AZ
    ZIP 85345
  • Facility Phone: 623 583-6688
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIZABETH ENGLUND
  • NPI Number: 1386676112
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D0993730
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1662
Street 10641 W OLIVE AVE
City PEORIA
State AZ
ZIP 85345
Phone 623 583-6688
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 ELIZABETH ENGLUND

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