06D2075345 CLIA NUMBER - SAFEWAY PHARMACY #1667

Laboratory Demographics

  • CLIA Code: 06D2075345
  • Facility Name: SAFEWAY PHARMACY #1667
  • Facility Address: 3333 ARAPAHOE RD #B
    ERIE, CO
    ZIP 80516
  • Facility Phone: 720 890-0425
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KYLE ERTLE
  • NPI Number: 1972532935
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2075345
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1667
Street 3333 ARAPAHOE RD #B
City ERIE
State CO
ZIP 80516
Phone 720 890-0425
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 KYLE ERTLE

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