03D2073055 CLIA NUMBER - SAFEWAY PHARMACY #2052

Laboratory Demographics

  • CLIA Code: 03D2073055
  • Facility Name: SAFEWAY PHARMACY #2052
  • Facility Address: 1635 E COTTONWOOD ST
    COTTONWOOD, AZ
    ZIP 86326
  • Facility Phone: 928 634-2464
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHKAN ZAFARANIAN
  • NPI Number: 1366471336
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2073055
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2052
Street 1635 E COTTONWOOD ST
City COTTONWOOD
State AZ
ZIP 86326
Phone 928 634-2464
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2024
Certificate Expiration Date 3/22/2026
Facility Type Pharmacy
Lab Director ASHKAN ZAFARANIAN

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