05D2057762 CLIA NUMBER - Safeway Pharmacy #1883

Laboratory Demographics

CLIA Number: 05D2057762

Facility Name: Safeway Pharmacy #1883

Facility Address:
103 American Canyon Rd,
American Canyon, CA
ZIP 94503
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Facility Phone Number: (707) 649-5160

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1205865235

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 05D2057762
LAB Type PHARMACY
Facility Name Safeway Pharmacy #1883
Street 103 American Canyon Rd,
City American Canyon
State CA
ZIP 94503
Phone 7076495160

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