05D2057735 CLIA NUMBER - SAFEWAY PHARMACY # 1109

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Laboratory Demographics

CLIA Number: 05D2057735

Facility Name: SAFEWAY PHARMACY # 1109

Facility Address:
2090 HARBISON DRIVE
VACAVILLE, CA
ZIP 95687
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Facility Phone Number: (925) 452-7279

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1356370365

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	05D2057735
LAB Type	PHARMACY
Facility Name	SAFEWAY PHARMACY # 1109
Street	2090 HARBISON DRIVE
City	VACAVILLE
State	CA
ZIP	95687
Phone	(925) 452-7279

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