05D2058058 CLIA NUMBER - SAFEWAY PHARMACY #2815

Laboratory Demographics

  • CLIA Code: 05D2058058
  • Facility Name: SAFEWAY PHARMACY #2815
  • Facility Address: 470 N SANTA CRUZ AVE
    LOS GATOS, CA
    ZIP 95032
  • Facility Phone: 408 354-7436
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HSIN C. KUO
  • NPI Number: 1932495918
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2058058
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2815
Street 470 N SANTA CRUZ AVE
City LOS GATOS
State CA
ZIP 95032
Phone 408 354-7436
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Pharmacy
Lab Director HSIN C. KUO

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