03D2035539 CLIA NUMBER - SAFEWAY PHARMACY #1771

Laboratory Demographics

  • CLIA Code: 03D2035539
  • Facility Name: SAFEWAY PHARMACY #1771
  • Facility Address: 1305 W DUVAL MINE RD
    SAHUARITA, AZ
    ZIP 85629
  • Facility Phone: 520 393-0084
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEXANDRA NICOLE JOHNSON
  • NPI Number: 1508892381
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2035539
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1771
Street 1305 W DUVAL MINE RD
City SAHUARITA
State AZ
ZIP 85629
Phone 520 393-0084
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 ALEXANDRA NICOLE JOHNSON

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