53D2075011 CLIA NUMBER - SAFEWAY PHARMACY #2667

Laboratory Demographics

  • CLIA Code: 53D2075011
  • Facility Name: SAFEWAY PHARMACY #2667
  • Facility Address: 700 S GREELEY HWY
    CHEYENNE, WY
    ZIP 82007
  • Facility Phone: 307 635-4087
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES K. MASSENGILL
  • NPI Number: 1710916754
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 53D2075011
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2667
Street 700 S GREELEY HWY
City CHEYENNE
State WY
ZIP 82007
Phone 307 635-4087
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Pharmacy
Lab Director JAMES K. MASSENGILL

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