05D2057765 CLIA NUMBER - SAFEWAY PHARMACY # 918

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Laboratory Demographics

CLIA Number: 05D2057765

Facility Name: SAFEWAY PHARMACY # 918

Facility Address:
6340 COMMERCE BLVD
ROHNERT PARK, CA
ZIP 94928
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Facility Phone Number: (707) 585-5980

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1255360277

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	05D2057765
LAB Type	PHARMACY
Facility Name	SAFEWAY PHARMACY # 918
Street	6340 COMMERCE BLVD
City	ROHNERT PARK
State	CA
ZIP	94928
Phone	(707) 585-5980

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