06D2075318 CLIA NUMBER - SAFEWAY PHARMACY #1578

Laboratory Demographics

  • CLIA Code: 06D2075318
  • Facility Name: SAFEWAY PHARMACY #1578
  • Facility Address: 1101 E US HWY 24
    WOODLAND PARK, CO
    ZIP 80866
  • Facility Phone: 719 686-9161
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MONICA MITVALSKY
  • NPI Number: 1720017783
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2075318
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1578
Street 1101 E US HWY 24
City WOODLAND PARK
State CO
ZIP 80866
Phone 719 686-9161
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 MONICA MITVALSKY

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