05D2058056 CLIA NUMBER - Safeway Pharmacy #1127

Laboratory Demographics

CLIA Number: 05D2058056

Facility Name: Safeway Pharmacy #1127

Facility Address:
2401 Waterman Blvd,
Fairfield, CA
ZIP 94533
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Facility Phone Number: (707) 427-5642

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1235175829

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 05D2058056
Facility Name Safeway Pharmacy #1127
Street 2401 Waterman Blvd,
City Fairfield
State CA
ZIP 94533
Phone 7074275642

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