05D2058281 CLIA NUMBER - SAFEWAY PHARMACY #0972

Laboratory Demographics

  • CLIA Code: 05D2058281
  • Facility Name: SAFEWAY PHARMACY #0972
  • Facility Address: 6688 ALHAMBRA AVE
    MARTINEZ, CA
    ZIP 94553
  • Facility Phone: 925 933-0822
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHADY GEORGY
  • NPI Number: 1497014484
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2058281
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0972
Street 6688 ALHAMBRA AVE
City MARTINEZ
State CA
ZIP 94553
Phone 925 933-0822
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Pharmacy
Lab Director SHADY GEORGY

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