06D2070680 CLIA NUMBER - SAFEWAY PHARMACY #1975

Laboratory Demographics

  • CLIA Code: 06D2070680
  • Facility Name: SAFEWAY PHARMACY #1975
  • Facility Address: 6925 MESA RIDGE PARKWAY
    FOUNTAIN, CO
    ZIP 80817
  • Facility Phone: 719 322-9358
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELISSA HUBBARD
  • NPI Number: 1871522839
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2070680
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1975
Street 6925 MESA RIDGE PARKWAY
City FOUNTAIN
State CO
ZIP 80817
Phone 719 322-9358
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 MELISSA HUBBARD

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