05D2057732 CLIA NUMBER - SAFEWAY PHARMACY # 0982

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Laboratory Demographics

CLIA Number: 05D2057732

Facility Name: SAFEWAY PHARMACY # 0982

Facility Address:
2505 SAN RAMON VALLEY BLVD.
SAN JOSE, CA
ZIP 95129
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Facility Phone Number: (925) 831-9502

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1417986456

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	05D2057732
LAB Type	PHARMACY
Facility Name	SAFEWAY PHARMACY # 0982
Street	2505 SAN RAMON VALLEY BLVD.
City	SAN JOSE
State	CA
ZIP	95129
Phone	(925) 831-9502

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This page was last updated on: 5/11/2023