29D2257715 CLIA NUMBER - SAFEWAY PHARMACY 1537

Laboratory Demographics

  • CLIA Code: 29D2257715
  • Facility Name: SAFEWAY PHARMACY 1537
  • Facility Address: 212 ELKS POINT RD
    ZEPHYR COVE, NV
    ZIP 89448
  • Facility Phone: 775 586-1088
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DARIA SIEDZIBSKI
  • NPI Number: 1639181506
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2257715
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 1537
Street 212 ELKS POINT RD
City ZEPHYR COVE
State NV
ZIP 89448
Phone 775 586-1088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Pharmacy
Lab Director DARIA SIEDZIBSKI

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