06D1033109 CLIA NUMBER - SAFEWAY PHARMACY #2812

Laboratory Demographics

  • CLIA Code: 06D1033109
  • Facility Name: SAFEWAY PHARMACY #2812
  • Facility Address: 910 W CHERRY ST
    LOUISVILLE, CO
    ZIP 80027
  • Facility Phone: 303 673-0697
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTINE VAUGHN
  • NPI Number: 1477590990
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D1033109
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2812
Street 910 W CHERRY ST
City LOUISVILLE
State CO
ZIP 80027
Phone 303 673-0697
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Pharmacy
Lab Director CHRISTINE VAUGHN

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