06D2075489 CLIA NUMBER - SAFEWAY PHARMACY #2911

Laboratory Demographics

  • CLIA Code: 06D2075489
  • Facility Name: SAFEWAY PHARMACY #2911
  • Facility Address: 2798 ARAPAHOE AVE
    BOULDER, CO
    ZIP 80302
  • Facility Phone: 303 443-6142
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLES GORE
  • NPI Number: 1336185941
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2075489
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2911
Street 2798 ARAPAHOE AVE
City BOULDER
State CO
ZIP 80302
Phone 303 443-6142
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 CHARLES GORE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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