27D2010643 CLIA NUMBER - SAFEWAY PHARMACY #3279

Laboratory Demographics

  • CLIA Code: 27D2010643
  • Facility Name: SAFEWAY PHARMACY #3279
  • Facility Address: 2500 MASSACHUSETTS AVE
    BUTTE, MT
    ZIP 59701
  • Facility Phone: 406 494-3754
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEEGAN O. WHELAN
  • NPI Number: 1013946037
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 27D2010643
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #3279
Street 2500 MASSACHUSETTS AVE
City BUTTE
State MT
ZIP 59701
Phone 406 494-3754
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Pharmacy
Lab Director KEEGAN O. WHELAN

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