32D2063511 CLIA NUMBER - SAFEWAY PHARMACY #1743

Laboratory Demographics

  • CLIA Code: 32D2063511
  • Facility Name: SAFEWAY PHARMACY #1743
  • Facility Address: 980 N US HWY 491
    GALLUP, NM
    ZIP 87301
  • Facility Phone: 505 722-9977
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VANLEY CHHAN
  • NPI Number: 1861762080
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2063511
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1743
Street 980 N US HWY 491
City GALLUP
State NM
ZIP 87301
Phone 505 722-9977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Pharmacy
Lab Director VANLEY CHHAN

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