03D2073057 CLIA NUMBER - SAFEWAY PHARMACY #2097

Laboratory Demographics

  • CLIA Code: 03D2073057
  • Facility Name: SAFEWAY PHARMACY #2097
  • Facility Address: 4747 E GREENWAY RD
    PHOENIX, AZ
    ZIP 85032
  • Facility Phone: 602 282-1974
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN LELIGDOWICZ
  • NPI Number: 1184660946
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2073057
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2097
Street 4747 E GREENWAY RD
City PHOENIX
State AZ
ZIP 85032
Phone 602 282-1974
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 JONATHAN LELIGDOWICZ

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: 6/4/2025