05D2057737 CLIA NUMBER - SAFEWAY PHARMACY # 0997

Laboratory Demographics

  • CLIA Code: 05D2057737
  • Facility Name: SAFEWAY PHARMACY # 0997
  • Facility Address: 1663 BRANHAM LANE
    SAN JOSE, CA
    ZIP 95118
  • Facility Phone: 408 267-4942
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE T. CHUNG
  • NPI Number: 1366471385
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2057737
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY # 0997
Street 1663 BRANHAM LANE
City SAN JOSE
State CA
ZIP 95118
Phone 408 267-4942
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 MICHELLE T. CHUNG

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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