03D2072936 CLIA NUMBER - SAFEWAY PHARMACY #253

Laboratory Demographics

  • CLIA Code: 03D2072936
  • Facility Name: SAFEWAY PHARMACY #253
  • Facility Address: 3185 W APACHE TRAIL
    APACHE JUNCTION, AZ
    ZIP 85120
  • Facility Phone: 312 208-3278
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: W OWEN ROGERS
  • NPI Number: 1942239900
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2072936
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #253
Street 3185 W APACHE TRAIL
City APACHE JUNCTION
State AZ
ZIP 85120
Phone 312 208-3278
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2024
Certificate Expiration Date 3/22/2026
Facility Type Pharmacy
Lab Director W OWEN ROGERS

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