05D2058286 CLIA NUMBER - SAFEWAY PHARMACY #1990

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Laboratory Demographics

CLIA Number: 05D2058286

Facility Name: SAFEWAY PHARMACY #1990

Facility Address:
3970 RIVERMARK PLAZA
SANTA CLARA, CA
ZIP 95053
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Facility Phone Number: (408) 855-0985

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1982633939

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	05D2058286
LAB Type	PHARMACY
Facility Name	SAFEWAY PHARMACY #1990
Street	3970 RIVERMARK PLAZA
City	SANTA CLARA
State	CA
ZIP	95053
Phone	(408) 855-0985

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