32D2010908 CLIA NUMBER - SAFEWAY PHARMACY #2004

Laboratory Demographics

  • CLIA Code: 32D2010908
  • Facility Name: SAFEWAY PHARMACY #2004
  • Facility Address: 3540 E MAIN ST
    FARMINGTON, NM
    ZIP 87402
  • Facility Phone: 505 564-3086
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL CHANTZ EYRING
  • NPI Number: 1003852864
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2010908
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2004
Street 3540 E MAIN ST
City FARMINGTON
State NM
ZIP 87402
Phone 505 564-3086
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Pharmacy
Lab Director MICHAEL CHANTZ EYRING

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