06D2075314 CLIA NUMBER - SAFEWAY PHARMACY #1552

Laboratory Demographics

  • CLIA Code: 06D2075314
  • Facility Name: SAFEWAY PHARMACY #1552
  • Facility Address: 1426 EAST HARMONY RD
    FORT COLLINS, CO
    ZIP 80525
  • Facility Phone: 970 223-2556
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUAN MENDEZ
  • NPI Number: 1902835960
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2075314
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1552
Street 1426 EAST HARMONY RD
City FORT COLLINS
State CO
ZIP 80525
Phone 970 223-2556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Pharmacy
Lab Director JUAN MENDEZ

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