03D2073014 CLIA NUMBER - SAFEWAY PHARMACY #1225

Laboratory Demographics

  • CLIA Code: 03D2073014
  • Facility Name: SAFEWAY PHARMACY #1225
  • Facility Address: 1500 E CEDAR AVE
    FLAGSTAFF, AZ
    ZIP 86004
  • Facility Phone: 928 774-3750
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH YOUKHANNA
  • NPI Number: 1275562217
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2073014
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1225
Street 1500 E CEDAR AVE
City FLAGSTAFF
State AZ
ZIP 86004
Phone 928 774-3750
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 YOUKHANNA

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