05D2057753 CLIA NUMBER - SAFEWAY PHARMACY #1530

Laboratory Demographics

  • CLIA Code: 05D2057753
  • Facility Name: SAFEWAY PHARMACY #1530
  • Facility Address: 3320 ARDEN WAY
    SACRAMENTO, CA
    ZIP 95825
  • Facility Phone: 916 483-9574
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMIE LA
  • NPI Number: 1437195039
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2057753
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1530
Street 3320 ARDEN WAY
City SACRAMENTO
State CA
ZIP 95825
Phone 916 483-9574
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Pharmacy
Lab Director JAMIE LA

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