03D2011130 CLIA NUMBER - SAFEWAY PHARMACY #1543

Laboratory Demographics

  • CLIA Code: 03D2011130
  • Facility Name: SAFEWAY PHARMACY #1543
  • Facility Address: 29834 N CAVE CREEK RD
    CAVE CREEK, AZ
    ZIP 85331
  • Facility Phone: 480 563-9395
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HELAL ETHERIDGE
  • NPI Number: 1033148093
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2011130
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1543
Street 29834 N CAVE CREEK RD
City CAVE CREEK
State AZ
ZIP 85331
Phone 480 563-9395
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Pharmacy
Lab Director HELAL ETHERIDGE

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