06D1031836 CLIA NUMBER - SAFEWAY PHARMACY #0804

Laboratory Demographics

  • CLIA Code: 06D1031836
  • Facility Name: SAFEWAY PHARMACY #0804
  • Facility Address: 1451 W EISENHOWER BLVD
    LOVELAND, CO
    ZIP 80537
  • Facility Phone: 970 667-5642
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAWN L. HERTZ
  • NPI Number: 1447297114
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D1031836
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0804
Street 1451 W EISENHOWER BLVD
City LOVELAND
State CO
ZIP 80537
Phone 970 667-5642
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Pharmacy
Lab Director DAWN L. HERTZ

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