03D2069658 CLIA NUMBER - SAFEWAY PHARMACY #1706

Laboratory Demographics

  • CLIA Code: 03D2069658
  • Facility Name: SAFEWAY PHARMACY #1706
  • Facility Address: 1637 N TREKELL RD
    CASA GRANDE, AZ
    ZIP 85122
  • Facility Phone: 520 421-4499
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COLLEEN SEBASTIAN
  • NPI Number: 1457380420
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2069658
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1706
Street 1637 N TREKELL RD
City CASA GRANDE
State AZ
ZIP 85122
Phone 520 421-4499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Pharmacy
Lab Director COLLEEN SEBASTIAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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