03D2073017 CLIA NUMBER - SAFEWAY PHARMACY #1253

Laboratory Demographics

  • CLIA Code: 03D2073017
  • Facility Name: SAFEWAY PHARMACY #1253
  • Facility Address: 23565 N SCOTTSDALE RD
    SCOTTSDALE, AZ
    ZIP 85255
  • Facility Phone: 480 585-9650
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HOLLY TAYNE
  • NPI Number: 1720017775
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2073017
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1253
Street 23565 N SCOTTSDALE RD
City SCOTTSDALE
State AZ
ZIP 85255
Phone 480 585-9650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Pharmacy
Lab Director HOLLY TAYNE

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This page was last updated on: 3/20/2025