03D2138487 CLIA NUMBER - SAFEWAY PHARMACY #1979

Laboratory Demographics

  • CLIA Code: 03D2138487
  • Facility Name: SAFEWAY PHARMACY #1979
  • Facility Address: 13440 N 7TH ST
    PHOENIX, AZ
    ZIP 85022
  • Facility Phone: 602 547-3883
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUMIRA KANWAL
  • NPI Number: 1194757922
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2138487
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1979
Street 13440 N 7TH ST
City PHOENIX
State AZ
ZIP 85022
Phone 602 547-3883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2023
Certificate Expiration Date 10/17/2025
Facility Type Pharmacy
Lab Director SUMIRA KANWAL

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This page was last updated on: 3/20/2025