05D2057732 CLIA NUMBER - SAFEWAY PHARMACY #0982

Laboratory Demographics

  • CLIA Code: 05D2057732
  • Facility Name: SAFEWAY PHARMACY #0982
  • Facility Address: 2505 SAN RAMON VALLEY BLVD
    SAN RAMON, CA
    ZIP 94583
  • Facility Phone: 925 831-9502
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACOB NG
  • NPI Number: 1417986456
  • Taxonomy: 3336C0003X - Pharmacy

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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 RAMON
State CA
ZIP 94583
Phone 925 831-9502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Pharmacy
Lab Director JACOB NG

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