06D2075459 CLIA NUMBER - SAFEWAY PHARMACY #1892

Laboratory Demographics

  • CLIA Code: 06D2075459
  • Facility Name: SAFEWAY PHARMACY #1892
  • Facility Address: 1580 E MAIN ST
    CORTEZ, CO
    ZIP 81321
  • Facility Phone: 970 564-1353
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE COMMON
  • NPI Number: 1053340018
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2075459
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1892
Street 1580 E MAIN ST
City CORTEZ
State CO
ZIP 81321
Phone 970 564-1353
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 MICHELLE COMMON

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