05D2058278 CLIA NUMBER - SAFEWAY PHARMACY #983

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Laboratory Demographics

CLIA Number: 05D2058278

Facility Name: SAFEWAY PHARMACY #983

Facility Address:
1071 11TH ST
LAKEPORT, CA
ZIP 95453
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Facility Phone Number: (707) 263-8779

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1376793521

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	05D2058278
LAB Type	PHARMACY
Facility Name	SAFEWAY PHARMACY #983
Street	1071 11TH ST
City	LAKEPORT
State	CA
ZIP	95453
Phone	(707) 263-8779

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