03D2072933 CLIA NUMBER - SAFEWAY PHARMACY #247

Laboratory Demographics

  • CLIA Code: 03D2072933
  • Facility Name: SAFEWAY PHARMACY #247
  • Facility Address: 1225 W GUADALUPE RD
    MESA, AZ
    ZIP 85202
  • Facility Phone: 480 838-7720
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AARON MAXON
  • NPI Number: 1558390591
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2072933
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #247
Street 1225 W GUADALUPE RD
City MESA
State AZ
ZIP 85202
Phone 480 838-7720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Pharmacy
Lab Director AARON MAXON

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