03D2073023 CLIA NUMBER - SAFEWAY PHARMACY #1491

Laboratory Demographics

  • CLIA Code: 03D2073023
  • Facility Name: SAFEWAY PHARMACY #1491
  • Facility Address: 7920 E CHAPARRAL RD
    SCOTTSDALE, AZ
    ZIP 85250
  • Facility Phone: 312 208-3278
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TYLER GUERRERO
  • NPI Number: 1174552129
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2073023
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1491
Street 7920 E CHAPARRAL RD
City SCOTTSDALE
State AZ
ZIP 85250
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 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Pharmacy
Lab Director TYLER GUERRERO

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