05D2058069 CLIA NUMBER - SAFEWAY PHARMACY #0933

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Laboratory Demographics

CLIA Number: 05D2058069

Facility Name: SAFEWAY PHARMACY #0933

Facility Address:
406 N MAIN ST
SEBASTOPOL, CA
ZIP 95472
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Facility Phone Number: (707) 823-1037

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1952347585

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	05D2058069
LAB Type	PHARMACY
Facility Name	SAFEWAY PHARMACY #0933
Street	406 N MAIN ST
City	SEBASTOPOL
State	CA
ZIP	95472
Phone	(707) 823-1037

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