29D2244947 CLIA NUMBER - SAFEWAY PHARMACY #2255

Laboratory Demographics

  • CLIA Code: 29D2244947
  • Facility Name: SAFEWAY PHARMACY #2255
  • Facility Address: HWY 95 & ARMORY PO BOX 67
    HAWTHORNE, NV
    ZIP 89415
  • Facility Phone: 775 945-3045
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FABIO HUANG YE
  • NPI Number: 1225057250
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2244947
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2255
Street HWY 95 & ARMORY PO BOX 67
City HAWTHORNE
State NV
ZIP 89415
Phone 775 945-3045
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Pharmacy
Lab Director FABIO HUANG YE

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