05D2057743 CLIA NUMBER - SAFEWAY PHARMACY #0788

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Laboratory Demographics

CLIA Number: 05D2057743

Facility Name: SAFEWAY PHARMACY #0788

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 #0788
Street	1 CAMINO ALTO
City	MILL VALLEY
State	CA
ZIP	94941
Phone	(415) 388-2701

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