06D2075496 CLIA NUMBER - SAFEWAY PHARMACY #2919

Laboratory Demographics

  • CLIA Code: 06D2075496
  • Facility Name: SAFEWAY PHARMACY #2919
  • Facility Address: 4800 E BASELINE RD
    BOULDER, CO
    ZIP 80302
  • Facility Phone: 303 494-8851
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMILIE CARROLL
  • NPI Number: 1720024342
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2075496
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2919
Street 4800 E BASELINE RD
City BOULDER
State CO
ZIP 80302
Phone 303 494-8851
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Pharmacy
Lab Director EMILIE CARROLL

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