29D2216690 CLIA NUMBER - SAFEWAY PHARMACY #1517

Laboratory Demographics

  • CLIA Code: 29D2216690
  • Facility Name: SAFEWAY PHARMACY #1517
  • Facility Address: 890 W WILLIAMS AVE
    FALLON, NV
    ZIP 89406
  • Facility Phone: 775 428-2340
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PETER HOOD
  • NPI Number: 1811261704
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2216690
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1517
Street 890 W WILLIAMS AVE
City FALLON
State NV
ZIP 89406
Phone 775 428-2340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Pharmacy
Lab Director PETER HOOD

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