03D2302676 CLIA NUMBER - SAFEWAY PHARMACY #0048

Laboratory Demographics

  • CLIA Code: 03D2302676
  • Facility Name: SAFEWAY PHARMACY #0048
  • Facility Address: 17230 W PEORIA AVE
    SURPRISE, AZ
    ZIP 85388
  • Facility Phone: 623 218-0345
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HUDA AHMED
  • NPI Number: 1588448468
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2302676
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0048
Street 17230 W PEORIA AVE
City SURPRISE
State AZ
ZIP 85388
Phone 623 218-0345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Pharmacy
Lab Director HUDA AHMED

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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