06D2070684 CLIA NUMBER - SAFEWAY PHARMACY #2624

Laboratory Demographics

  • CLIA Code: 06D2070684
  • Facility Name: SAFEWAY PHARMACY #2624
  • Facility Address: 3600 W 144TH AVE
    BROOMFIELD, CO
    ZIP 80023
  • Facility Phone: 303 209-2416
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH SHORE
  • NPI Number: 1235160052
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2070684
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2624
Street 3600 W 144TH AVE
City BROOMFIELD
State CO
ZIP 80023
Phone 303 209-2416
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 SARAH SHORE

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