06D2075492 CLIA NUMBER - SAFEWAY PHARMACY #2917

Laboratory Demographics

  • CLIA Code: 06D2075492
  • Facility Name: SAFEWAY PHARMACY #2917
  • Facility Address: 1605 BRIDGE ST
    BRIGHTON, CO
    ZIP 80601
  • Facility Phone: 303 659-9660
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIAN J. WANG
  • NPI Number: 1942239991
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2075492
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2917
Street 1605 BRIDGE ST
City BRIGHTON
State CO
ZIP 80601
Phone 303 659-9660
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 BRIAN J. WANG

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