03D2072934 CLIA NUMBER - SAFEWAY PHARMACY 0248

Laboratory Demographics

  • CLIA Code: 03D2072934
  • Facility Name: SAFEWAY PHARMACY 0248
  • Facility Address: 1751 HIGHWAY 95
    BULLHEAD CITY, AZ
    ZIP 86442
  • Facility Phone: 928 763-1888
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KYLER ROBINSON
  • NPI Number: 1588693543
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2072934
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 0248
Street 1751 HIGHWAY 95
City BULLHEAD CITY
State AZ
ZIP 86442
Phone 928 763-1888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Pharmacy
Lab Director KYLER ROBINSON

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