03D2073029 CLIA NUMBER - SAFEWAY PHARMACY #1549

Laboratory Demographics

  • CLIA Code: 03D2073029
  • Facility Name: SAFEWAY PHARMACY #1549
  • Facility Address: 14696 N FRANK LLOYD WRIGHT BLVD
    SCOTTSDALE, AZ
    ZIP 85260
  • Facility Phone: 480 391-1186
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EVELYN AYALA
  • NPI Number: 1215966270
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2073029
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1549
Street 14696 N FRANK LLOYD WRIGHT BLVD
City SCOTTSDALE
State AZ
ZIP 85260
Phone 480 391-1186
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 EVELYN AYALA

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