06D2075293 CLIA NUMBER - SAFEWAY PHARMACY #0920

Laboratory Demographics

  • CLIA Code: 06D2075293
  • Facility Name: SAFEWAY PHARMACY #0920
  • Facility Address: 451 E WONDER VIEW AVE
    ESTES PARK, CO
    ZIP 80517
  • Facility Phone: 970 577-8226
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICK FORTUNATO
  • NPI Number: 1881623841
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2075293
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0920
Street 451 E WONDER VIEW AVE
City ESTES PARK
State CO
ZIP 80517
Phone 970 577-8226
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 RICK FORTUNATO

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