03D2072811 CLIA NUMBER - SAFEWAY PHARMACY #174

Laboratory Demographics

  • CLIA Code: 03D2072811
  • Facility Name: SAFEWAY PHARMACY #174
  • Facility Address: 520 W OSBORN RD
    PHOENIX, AZ
    ZIP 85013
  • Facility Phone: 602 285-0661
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SPENCER BELLEW
  • NPI Number: 1265461214
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2072811
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #174
Street 520 W OSBORN RD
City PHOENIX
State AZ
ZIP 85013
Phone 602 285-0661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Pharmacy
Lab Director SPENCER BELLEW

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