05D2057735 CLIA NUMBER - Safeway Pharmacy # 1109

Laboratory Demographics

CLIA Number: 05D2057735

Facility Name: Safeway Pharmacy # 1109

Facility Address:
2090 Harbison Drive,
Vacaville, CA
ZIP 95687
Get Directions

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
Facility Name Safeway Pharmacy # 1109
Street 2090 Harbison Drive,
City Vacaville
State CA
ZIP 95687
Phone 9254527279

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 5/19/2019