03D2073026 CLIA NUMBER - SAFEWAY PHARMACY #1521

Laboratory Demographics

  • CLIA Code: 03D2073026
  • Facility Name: SAFEWAY PHARMACY #1521
  • Facility Address: 12122 N RANCHO VISTOSO BLVD
    ORO VALLEY, AZ
    ZIP 85755
  • Facility Phone: 520 297-0260
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD HOWARD
  • NPI Number: 1205865268
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2073026
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1521
Street 12122 N RANCHO VISTOSO BLVD
City ORO VALLEY
State AZ
ZIP 85755
Phone 520 297-0260
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 RICHARD HOWARD

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This page was last updated on: 6/4/2025