06D2070690 CLIA NUMBER - SAFEWAY PHARMACY #2817

Laboratory Demographics

  • CLIA Code: 06D2070690
  • Facility Name: SAFEWAY PHARMACY #2817
  • Facility Address: 232 G ST
    SALIDA, CO
    ZIP 81201
  • Facility Phone: 719 539-6933
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE DIAZ
  • NPI Number: 1952347551
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2070690
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2817
Street 232 G ST
City SALIDA
State CO
ZIP 81201
Phone 719 539-6933
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 NICOLE DIAZ

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