06D2075488 CLIA NUMBER - SAFEWAY PHARMACY #2839

Laboratory Demographics

  • CLIA Code: 06D2075488
  • Facility Name: SAFEWAY PHARMACY #2839
  • Facility Address: 840 VILLAGE CENTER DR
    COLORADO SPRINGS, CO
    ZIP 80919
  • Facility Phone: 719 548-1477
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DONALD L. JOHNSON
  • NPI Number: 1558390500
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2075488
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2839
Street 840 VILLAGE CENTER DR
City COLORADO SPRINGS
State CO
ZIP 80919
Phone 719 548-1477
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 DONALD L. JOHNSON

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