03D2073018 CLIA NUMBER - SAFEWAY PHARMACY #1275

Laboratory Demographics

  • CLIA Code: 03D2073018
  • Facility Name: SAFEWAY PHARMACY #1275
  • Facility Address: 599 W 4TH ST
    BENSON, AZ
    ZIP 85602
  • Facility Phone: 520 586-7323
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL HARRINGTON
  • NPI Number: 1992734941
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2073018
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1275
Street 599 W 4TH ST
City BENSON
State AZ
ZIP 85602
Phone 520 586-7323
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 MICHAEL HARRINGTON

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