03D2256413 CLIA NUMBER - SAFEWAY PHARMACY #3334

Laboratory Demographics

  • CLIA Code: 03D2256413
  • Facility Name: SAFEWAY PHARMACY #3334
  • Facility Address: 3655 W ANTHEM WAY
    ANTHEM, AZ
    ZIP 85086
  • Facility Phone: 623 745-3805
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANTHONY RUSSELL
  • NPI Number: 1255883161
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2256413
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #3334
Street 3655 W ANTHEM WAY
City ANTHEM
State AZ
ZIP 85086
Phone 623 745-3805
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2024
Certificate Expiration Date 3/22/2026
Facility Type Pharmacy
Lab Director ANTHONY RUSSELL

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