03D2073045 CLIA NUMBER - SAFEWAY PHARMACY #1733

Laboratory Demographics

  • CLIA Code: 03D2073045
  • Facility Name: SAFEWAY PHARMACY #1733
  • Facility Address: 900 W DEUCE OF CLUBS
    SHOW LOW, AZ
    ZIP 85901
  • Facility Phone: 928 532-5659
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TUTHI QUACH
  • NPI Number: 1184653123
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2073045
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1733
Street 900 W DEUCE OF CLUBS
City SHOW LOW
State AZ
ZIP 85901
Phone 928 532-5659
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Pharmacy
Lab Director TUTHI QUACH

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