06D2070667 CLIA NUMBER - SAFEWAY PHARMACY #1480

Laboratory Demographics

  • CLIA Code: 06D2070667
  • Facility Name: SAFEWAY PHARMACY #1480
  • Facility Address: 9255 S BROADWAY
    HIGHLANDS RANCH, CO
    ZIP 80129
  • Facility Phone: 303 683-0511
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE C. CHONKA SAUL
  • NPI Number: 1770529372
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2070667
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1480
Street 9255 S BROADWAY
City HIGHLANDS RANCH
State CO
ZIP 80129
Phone 303 683-0511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Pharmacy
Lab Director STEPHANIE C. CHONKA SAUL

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