03D2072935 CLIA NUMBER - SAFEWAY PHARMACY #0249

Laboratory Demographics

  • CLIA Code: 03D2072935
  • Facility Name: SAFEWAY PHARMACY #0249
  • Facility Address: 650 ELM ST
    PAGE, AZ
    ZIP 86040
  • Facility Phone: 928 645-5714
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH ADELUFOSI
  • NPI Number: 1447289491
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2072935
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0249
Street 650 ELM ST
City PAGE
State AZ
ZIP 86040
Phone 928 645-5714
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Pharmacy
Lab Director JOSEPH ADELUFOSI

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