03D2158543 CLIA NUMBER - SAFEWAY PHARMACY #3173

Laboratory Demographics

  • CLIA Code: 03D2158543
  • Facility Name: SAFEWAY PHARMACY #3173
  • Facility Address: 40950 N IRONWOOD DR
    QUEEN CREEK, AZ
    ZIP 85140
  • Facility Phone: 480 758-3320
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EVELYN LOONG
  • NPI Number: 1780164582
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2158543
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #3173
Street 40950 N IRONWOOD DR
City QUEEN CREEK
State AZ
ZIP 85140
Phone 480 758-3320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Pharmacy
Lab Director EVELYN LOONG

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