28D2111628 CLIA NUMBER - SAFEWAY PHARMACY #0556

Laboratory Demographics

  • CLIA Code: 28D2111628
  • Facility Name: SAFEWAY PHARMACY #0556
  • Facility Address: 601 BROADWAY
    SCOTTSBLUFF, NE
    ZIP 69361
  • Facility Phone: 308 635-1444
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. CLAIRE MARIE SONGO
  • NPI Number: 1003845025
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 28D2111628
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0556
Street 601 BROADWAY
City SCOTTSBLUFF
State NE
ZIP 69361
Phone 308 635-1444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Pharmacy
Lab Director MS. CLAIRE MARIE SONGO

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