32D2111518 CLIA NUMBER - SAFEWAY PHARMACY #1438

Laboratory Demographics

  • CLIA Code: 32D2111518
  • Facility Name: SAFEWAY PHARMACY #1438
  • Facility Address: 415 N MAIN AVE
    AZTEC, NM
    ZIP 87410
  • Facility Phone: 505 334-6261
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTIN MCDONALD
  • NPI Number: 1568498335
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 32D2111518
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1438
Street 415 N MAIN AVE
City AZTEC
State NM
ZIP 87410
Phone 505 334-6261
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 KRISTIN MCDONALD

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