03D2073034 CLIA NUMBER - SAFEWAY PHARMACY #1604

Laboratory Demographics

  • CLIA Code: 03D2073034
  • Facility Name: SAFEWAY PHARMACY #1604
  • Facility Address: 1159 W CHANDLER BLVD
    CHANDLER, AZ
    ZIP 85224
  • Facility Phone: 480 726-7775
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGIE ARVALLO
  • NPI Number: 1902835978
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2073034
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1604
Street 1159 W CHANDLER BLVD
City CHANDLER
State AZ
ZIP 85224
Phone 480 726-7775
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 ANGIE ARVALLO

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