05D2057743 CLIA NUMBER - Safeway Pharmacy # 788

Laboratory Demographics

CLIA Number: 05D2057743

Facility Name: Safeway Pharmacy # 788

Facility Address:
1 Camino Alto,
Mill Valley, CA
ZIP 94941
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Facility Phone Number: (415) 388-2701

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1467483271

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 05D2057743
LAB Type PHARMACY
Facility Name Safeway Pharmacy # 788
Street 1 Camino Alto,
City Mill Valley
State CA
ZIP 94941
Phone 4153882701

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