06D2075316 CLIA NUMBER - SAFEWAY PHARMACY #1568

Laboratory Demographics

  • CLIA Code: 06D2075316
  • Facility Name: SAFEWAY PHARMACY #1568
  • Facility Address: 40 COUNTY RD # 804 PO BOX 218
    FRASER, CO
    ZIP 80442
  • Facility Phone: 970 726-6920
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNA ELIASEN
  • NPI Number: 1508895566
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2075316
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1568
Street 40 COUNTY RD # 804 PO BOX 218
City FRASER
State CO
ZIP 80442
Phone 970 726-6920
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 ANNA ELIASEN

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