53D2075016 CLIA NUMBER - SAFEWAY PHARMACY #2466

Laboratory Demographics

  • CLIA Code: 53D2075016
  • Facility Name: SAFEWAY PHARMACY #2466
  • Facility Address: 554 N 3RD ST
    LARAMIE, WY
    ZIP 82070
  • Facility Phone: 307 745-4224
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TESSA KAILEY
  • NPI Number: 1992734933
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 53D2075016
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2466
Street 554 N 3RD ST
City LARAMIE
State WY
ZIP 82070
Phone 307 745-4224
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 TESSA KAILEY

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