03D2063893 CLIA NUMBER - SAFEWAY PHARMACY #2054

Laboratory Demographics

  • CLIA Code: 03D2063893
  • Facility Name: SAFEWAY PHARMACY #2054
  • Facility Address: 13503 CAMINO DEL SOL
    SUN CITY WEST, AZ
    ZIP 85375
  • Facility Phone: 312 208-3278
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CINDY LE
  • NPI Number: 1538198585
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2063893
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2054
Street 13503 CAMINO DEL SOL
City SUN CITY WEST
State AZ
ZIP 85375
Phone 312 208-3278
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Pharmacy
Lab Director CINDY LE

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