43D2256129 CLIA NUMBER - SAFEWAY PHARMACY #0583

Laboratory Demographics

  • CLIA Code: 43D2256129
  • Facility Name: SAFEWAY PHARMACY #0583
  • Facility Address: 1606 NORTH AVE SUITE 2
    SPEARFISH, SD
    ZIP 57783
  • Facility Phone: 605 642-3039
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHELSEA RENDLEMAN
  • NPI Number: 1356370316
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 43D2256129
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0583
Street 1606 NORTH AVE SUITE 2
City SPEARFISH
State SD
ZIP 57783
Phone 605 642-3039
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Pharmacy
Lab Director CHELSEA RENDLEMAN

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