06D2075456 CLIA NUMBER - SAFEWAY PHARMACY #1863

Laboratory Demographics

  • CLIA Code: 06D2075456
  • Facility Name: SAFEWAY PHARMACY #1863
  • Facility Address: 1550 HIGHWAY 92
    DELTA, CO
    ZIP 81416
  • Facility Phone: 970 874-9091
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT M. LISZEWSKIU
  • NPI Number: 1245276856
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2075456
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1863
Street 1550 HIGHWAY 92
City DELTA
State CO
ZIP 81416
Phone 970 874-9091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Pharmacy
Lab Director SCOTT M. LISZEWSKIU

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