03D2069659 CLIA NUMBER - SAFEWAY PHARMACY #1684

Laboratory Demographics

  • CLIA Code: 03D2069659
  • Facility Name: SAFEWAY PHARMACY #1684
  • Facility Address: 1940 E BROADWAY RD
    TUCSON, AZ
    ZIP 85719
  • Facility Phone: 520 206-9052
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFREY STEVENS
  • NPI Number: 1770642878
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2069659
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1684
Street 1940 E BROADWAY RD
City TUCSON
State AZ
ZIP 85719
Phone 520 206-9052
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 JEFFREY STEVENS

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