03D2175056 CLIA NUMBER - SAFEWAY PHARMACY #2922

Laboratory Demographics

  • CLIA Code: 03D2175056
  • Facility Name: SAFEWAY PHARMACY #2922
  • Facility Address: 4316 S SIGNAL BUTTE RD
    MESA, AZ
    ZIP 85212
  • Facility Phone: 480 296-7955
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD ZOYHOFSKI
  • NPI Number: 1194371526
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2175056
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2922
Street 4316 S SIGNAL BUTTE RD
City MESA
State AZ
ZIP 85212
Phone 480 296-7955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Pharmacy
Lab Director RICHARD ZOYHOFSKI

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