06D2075312 CLIA NUMBER - SAFEWAY PHARMACY #1548

Laboratory Demographics

  • CLIA Code: 06D2075312
  • Facility Name: SAFEWAY PHARMACY #1548
  • Facility Address: 9229 E LINCOLN AVE
    LONE TREE, CO
    ZIP 80124
  • Facility Phone: 303 649-9749
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRIS CAVANAUGH
  • NPI Number: 1639108699
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2075312
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1548
Street 9229 E LINCOLN AVE
City LONE TREE
State CO
ZIP 80124
Phone 303 649-9749
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Pharmacy
Lab Director CHRIS CAVANAUGH

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