06D2080138 CLIA NUMBER - SAFEWAY PHARMACY #1479

Laboratory Demographics

  • CLIA Code: 06D2080138
  • Facility Name: SAFEWAY PHARMACY #1479
  • Facility Address: 3900 WADSWORTH BLVD
    WHEAT RIDGE, CO
    ZIP 80033
  • Facility Phone: 303 456-4413
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHRYN MILLER
  • NPI Number: 1740226364
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D2080138
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1479
Street 3900 WADSWORTH BLVD
City WHEAT RIDGE
State CO
ZIP 80033
Phone 303 456-4413
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 KATHRYN MILLER

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