27D2083940 CLIA NUMBER - SAFEWAY PHARMACY # 1646

Laboratory Demographics

  • CLIA Code: 27D2083940
  • Facility Name: SAFEWAY PHARMACY # 1646
  • Facility Address: 40774 MT HIGHWAY 35
    POLSON, MT
    ZIP 59860
  • Facility Phone: 406 883-3674
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KACIE HENDRICKS
  • NPI Number: 1477582492
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 27D2083940
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY # 1646
Street 40774 MT HIGHWAY 35
City POLSON
State MT
ZIP 59860
Phone 406 883-3674
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 KACIE HENDRICKS

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