27D2083935 CLIA NUMBER - SAFEWAY PHARMACY # 2999

Laboratory Demographics

  • CLIA Code: 27D2083935
  • Facility Name: SAFEWAY PHARMACY # 2999
  • Facility Address: 1735 W MAIN STREET
    BOZEMAN, MT
    ZIP 59771
  • Facility Phone: 406 585-9155
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSHUA ANDERSON
  • NPI Number: 1922037944
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 27D2083935
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY # 2999
Street 1735 W MAIN STREET
City BOZEMAN
State MT
ZIP 59771
Phone 406 585-9155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Pharmacy
Lab Director JOSHUA ANDERSON

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