05D2058282 CLIA NUMBER - SAFEWAY PHARMACY #1125

Laboratory Demographics

  • CLIA Code: 05D2058282
  • Facility Name: SAFEWAY PHARMACY #1125
  • Facility Address: 1366 EAST AVE
    CHICO, CA
    ZIP 95926
  • Facility Phone: 530 899-2322
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MALY HENG
  • NPI Number: 1447289459
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2058282
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1125
Street 1366 EAST AVE
City CHICO
State CA
ZIP 95926
Phone 530 899-2322
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 MALY HENG

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