05D2057759 CLIA NUMBER - SAFEWAY PHARMACY #1682

Laboratory Demographics

  • CLIA Code: 05D2057759
  • Facility Name: SAFEWAY PHARMACY #1682
  • Facility Address: 2811 MIDDLEFIELD RD
    PALO ALTO, CA
    ZIP 94306
  • Facility Phone: 650 321-9731
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PATRICK HOANG
  • NPI Number: 1851337463
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2057759
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1682
Street 2811 MIDDLEFIELD RD
City PALO ALTO
State CA
ZIP 94306
Phone 650 321-9731
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Pharmacy
Lab Director PATRICK HOANG

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