05D2057752 CLIA NUMBER - SAFEWAY PHARMACY #3241

Laboratory Demographics

  • CLIA Code: 05D2057752
  • Facility Name: SAFEWAY PHARMACY #3241
  • Facility Address: 950 W HAMILTON AVE
    CAMPBELL, CA
    ZIP 95008
  • Facility Phone: 408 871-1260
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW PHAN
  • NPI Number: 1801193446
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2057752
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #3241
Street 950 W HAMILTON AVE
City CAMPBELL
State CA
ZIP 95008
Phone 408 871-1260
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 MATTHEW PHAN

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