03D2138482 CLIA NUMBER - SAFEWAY PHARMACY #0261

Laboratory Demographics

  • CLIA Code: 03D2138482
  • Facility Name: SAFEWAY PHARMACY #0261
  • Facility Address: 101 NACO HWY
    BISBEE, AZ
    ZIP 85603
  • Facility Phone: 520 432-2274
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARLA TREPANIER
  • NPI Number: 1821024605
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2138482
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0261
Street 101 NACO HWY
City BISBEE
State AZ
ZIP 85603
Phone 520 432-2274
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Pharmacy
Lab Director MARLA TREPANIER

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