03D2073095 CLIA NUMBER - SAFEWAY PHARMACY #2799

Laboratory Demographics

  • CLIA Code: 03D2073095
  • Facility Name: SAFEWAY PHARMACY #2799
  • Facility Address: 28455 N VISTANCIA BLVD
    PEORIA, AZ
    ZIP 85383
  • Facility Phone: 623 271-7617
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MINDY LIND
  • NPI Number: 1730369653
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2073095
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2799
Street 28455 N VISTANCIA BLVD
City PEORIA
State AZ
ZIP 85383
Phone 623 271-7617
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 MINDY LIND

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