03D2082494 CLIA NUMBER - SAFEWAY PHARMACY #1487

Laboratory Demographics

  • CLIA Code: 03D2082494
  • Facility Name: SAFEWAY PHARMACY #1487
  • Facility Address: 926 E BROADWAY RD
    TEMPE, AZ
    ZIP 85282
  • Facility Phone: 480 281-1016
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LARA THIRY
  • NPI Number: 1568800191
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2082494
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1487
Street 926 E BROADWAY RD
City TEMPE
State AZ
ZIP 85282
Phone 480 281-1016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Pharmacy
Lab Director LARA THIRY

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