06D2075294 CLIA NUMBER - SAFEWAY PHARMACY #1131

Laboratory Demographics

  • CLIA Code: 06D2075294
  • Facility Name: SAFEWAY PHARMACY #1131
  • Facility Address: 1329 S TOWNSEND AVE
    MONTROSE, CO
    ZIP 81401
  • Facility Phone: 970 249-1160
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLYN D. KENNEDY
  • NPI Number: 1548206162
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2075294
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1131
Street 1329 S TOWNSEND AVE
City MONTROSE
State CO
ZIP 81401
Phone 970 249-1160
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 KELLYN D. KENNEDY

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