05D1057403 CLIA NUMBER - SAFEWAY PHARMACY #1455

Laboratory Demographics

  • CLIA Code: 05D1057403
  • Facility Name: SAFEWAY PHARMACY #1455
  • Facility Address: 840 E DUNNE AVE
    MORGAN HILL, CA
    ZIP 95037
  • Facility Phone: 408 776-8722
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRANCES VO
  • NPI Number: 1275562290
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1057403
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1455
Street 840 E DUNNE AVE
City MORGAN HILL
State CA
ZIP 95037
Phone 408 776-8722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2023
Certificate Expiration Date 8/13/2025
Facility Type Pharmacy
Lab Director FRANCES VO

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This page was last updated on: 6/4/2025