03D2253550 CLIA NUMBER - SAFEWAY PHARMACY #0255

Laboratory Demographics

  • CLIA Code: 03D2253550
  • Facility Name: SAFEWAY PHARMACY #0255
  • Facility Address: 1551 W ST MARY'S RD
    TUCSON, AZ
    ZIP 85745
  • Facility Phone: 520 624-8230
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN COLE
  • NPI Number: 1093744047
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2253550
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0255
Street 1551 W ST MARY'S RD
City TUCSON
State AZ
ZIP 85745
Phone 520 624-8230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Pharmacy
Lab Director JUSTIN COLE

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