03D0994963 CLIA NUMBER - SAFEWAY PHARMACY #1201

Laboratory Demographics

  • CLIA Code: 03D0994963
  • Facility Name: SAFEWAY PHARMACY #1201
  • Facility Address: 4005 E CHANDLER BLVD
    PHOENIX, AZ
    ZIP 85048
  • Facility Phone: 480 759-4479
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA LITTLE
  • NPI Number: 1013948827
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D0994963
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1201
Street 4005 E CHANDLER BLVD
City PHOENIX
State AZ
ZIP 85048
Phone 480 759-4479
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Pharmacy
Lab Director AMANDA LITTLE

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