06D2075276 CLIA NUMBER - SAFEWAY PHARMACY #0390

Laboratory Demographics

  • CLIA Code: 06D2075276
  • Facility Name: SAFEWAY PHARMACY #0390
  • Facility Address: 2425 MINER ST
    IDAHO SPRINGS, CO
    ZIP 80452
  • Facility Phone: 303 567-2496
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EILEEN SPANN
  • NPI Number: 1780613745
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2075276
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0390
Street 2425 MINER ST
City IDAHO SPRINGS
State CO
ZIP 80452
Phone 303 567-2496
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Pharmacy
Lab Director EILEEN SPANN

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