03D2073047 CLIA NUMBER - SAFEWAY PHARMACY #1748

Laboratory Demographics

  • CLIA Code: 03D2073047
  • Facility Name: SAFEWAY PHARMACY #1748
  • Facility Address: 5137 E BASELINE RD
    GILBERT, AZ
    ZIP 85234
  • Facility Phone: 480 325-5856
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES PETERSON
  • NPI Number: 1447289418
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2073047
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1748
Street 5137 E BASELINE RD
City GILBERT
State AZ
ZIP 85234
Phone 480 325-5856
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 JAMES PETERSON

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