28D2110474 CLIA NUMBER - SAFEWAY PHARMACY #0549

Laboratory Demographics

  • CLIA Code: 28D2110474
  • Facility Name: SAFEWAY PHARMACY #0549
  • Facility Address: 500 E THIRD STREET
    ALLIANCE, NE
    ZIP 69301
  • Facility Phone: 308 762-1258
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES KNAGGS
  • NPI Number: 1104178490
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2110474
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0549
Street 500 E THIRD STREET
City ALLIANCE
State NE
ZIP 69301
Phone 308 762-1258
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Pharmacy
Lab Director JAMES KNAGGS

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