05D2058069 CLIA NUMBER - Safeway Pharmacy #0933

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 7078231037

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