03D2073046 CLIA NUMBER - SAFEWAY PHARMACY #1747

Laboratory Demographics

  • CLIA Code: 03D2073046
  • Facility Name: SAFEWAY PHARMACY #1747
  • Facility Address: 1031 N HIGHWAY 89
    CHINO VALLEY, AZ
    ZIP 86323
  • Facility Phone: 928 636-8425
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL LESSER
  • NPI Number: 1457380404
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2073046
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1747
Street 1031 N HIGHWAY 89
City CHINO VALLEY
State AZ
ZIP 86323
Phone 928 636-8425
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 MICHAEL LESSER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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