06D2075343 CLIA NUMBER - SAFEWAY PHARMACY #1656

Laboratory Demographics

  • CLIA Code: 06D2075343
  • Facility Name: SAFEWAY PHARMACY #1656
  • Facility Address: 1601 COALTON RD
    SUPERIOR, CO
    ZIP 80027
  • Facility Phone: 303 543-2314
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BENJAMIN PROCTOR
  • NPI Number: 1508897323
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2075343
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1656
Street 1601 COALTON RD
City SUPERIOR
State CO
ZIP 80027
Phone 303 543-2314
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 BENJAMIN PROCTOR

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