05D1057406 CLIA NUMBER - SAFEWAY PHARMACY #1541

Laboratory Demographics

  • CLIA Code: 05D1057406
  • Facility Name: SAFEWAY PHARMACY #1541
  • Facility Address: 1978 CONTRA COSTA BLVD
    PLEASANT HILL, CA
    ZIP 94523
  • Facility Phone: 925 688-0684
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHUONG T. TRAN
  • NPI Number: 1962448563
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1057406
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1541
Street 1978 CONTRA COSTA BLVD
City PLEASANT HILL
State CA
ZIP 94523
Phone 925 688-0684
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Pharmacy
Lab Director PHUONG T. TRAN

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