CLIA lab
CLIA 03D2073056: Safeway Pharmacy #2069
Lakeside, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 03D2073056 belongs to Safeway Pharmacy #2069 in Lakeside, AZ.
Certificate of Waiver, effective March 23, 2026, expires March 22, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 23, 2026
- Certificate expiration
- March 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 10, 2014
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 03D2073056
- Lab name
- Safeway Pharmacy #2069
- Address
- 20 W White Mountain Rd, Lakeside, AZ 85929
- Phone
- (928) 367-5442
- Fax
- (928) 367-3391
Annual test volume the lab reported
- Waived tests
- 2,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lakeside, AZ
- Banner HealthCertificate of Waiver, Other03D2146756
- Banner HealthCertificate of Waiver, Physician office03D2325741
- Barnet Dulaney Perkins Eye CenterCertificate of Waiver, Physician office03D2230043
- Billy Creek ClinicCertificate of Waiver, Physician office03D2012303
- Changepoint Psychiatric HospitalCertificate of Waiver, Other03D0881034
- Comprehensive Medical CareCertificate of Waiver, Physician office03D1025168
- Haven of LakesideCertificate of Waiver, Skilled nursing or nursing facility03D2189424
- Hospice Compassus - White MountainCertificate of Waiver, Hospice03D1035510
- Premier Mountain ImagingCertificate of Waiver, Other03D2303061
- Solterra at White Mountains Two, LLCCertificate of Waiver, Assisted living facility03D2198889
Related
Questions
What is the CLIA number for Safeway Pharmacy #2069 in Lakeside?
03D2073056, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Safeway Pharmacy #2069 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 03D2073056 expire?
The CMS file lists March 22, 2028 as the certificate expiration date; the certificate took effect March 23, 2026.