06D1031866 CLIA NUMBER - SAFEWAY PHARMACY #0892

Laboratory Demographics

  • CLIA Code: 06D1031866
  • Facility Name: SAFEWAY PHARMACY #0892
  • Facility Address: 3840 EAST 104TH AVE
    THORNTON, CO
    ZIP 80233
  • Facility Phone: 303 255-0587
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DARCIE R. RYANT
  • NPI Number: 1790723872
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D1031866
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0892
Street 3840 EAST 104TH AVE
City THORNTON
State CO
ZIP 80233
Phone 303 255-0587
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Pharmacy
Lab Director DARCIE R. RYANT

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