03D2073092 CLIA NUMBER - SAFEWAY PHARMACY #2709

Laboratory Demographics

  • CLIA Code: 03D2073092
  • Facility Name: SAFEWAY PHARMACY #2709
  • Facility Address: 5035 W BASELINE RD
    PHOENIX, AZ
    ZIP 85339
  • Facility Phone: 602 567-7566
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD RUESCH
  • NPI Number: 1245486349
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2073092
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2709
Street 5035 W BASELINE RD
City PHOENIX
State AZ
ZIP 85339
Phone 602 567-7566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2024
Certificate Expiration Date 2/10/2026
Facility Type Pharmacy
Lab Director RICHARD RUESCH

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This page was last updated on: 6/4/2025