05D1057405 CLIA NUMBER - SAFEWAY PHARMACY #1866

Laboratory Demographics

  • CLIA Code: 05D1057405
  • Facility Name: SAFEWAY PHARMACY #1866
  • Facility Address: 2220 SUNSET BLVD
    ROCKLIN, CA
    ZIP 95765
  • Facility Phone: 916 789-0807
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVEN IWAY RPH
  • NPI Number: 1588693519
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1057405
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1866
Street 2220 SUNSET BLVD
City ROCKLIN
State CA
ZIP 95765
Phone 916 789-0807
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Pharmacy
Lab Director STEVEN IWAY RPH

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