05D2058053 CLIA NUMBER - Safeway Pharmacy #1931

Laboratory Demographics

CLIA Number: 05D2058053

Facility Name: Safeway Pharmacy #1931

Facility Address:
46848 Mission Blvd,
Fremont, CA
ZIP 94539
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Facility Phone Number: (510) 497-1015

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1598701369

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 05D2058053
Facility Name Safeway Pharmacy #1931
Street 46848 Mission Blvd,
City Fremont
State CA
ZIP 94539
Phone 5104971015

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