06D2075279 CLIA NUMBER - SAFEWAY PHARMACY #0010

Laboratory Demographics

  • CLIA Code: 06D2075279
  • Facility Name: SAFEWAY PHARMACY #0010
  • Facility Address: 3851 S HIGHWAY 74
    EVERGREEN, CO
    ZIP 80439
  • Facility Phone: 303 209-5274
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN HORNBARGER
  • NPI Number: 1730115510
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2075279
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0010
Street 3851 S HIGHWAY 74
City EVERGREEN
State CO
ZIP 80439
Phone 303 209-5274
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 KEVIN HORNBARGER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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