05D2058286 CLIA NUMBER - Safeway Pharmacy #1990

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
Facility Name Safeway Pharmacy #1990
Street 3970 Rivermark Plaza,
City Santa Clara
State CA
ZIP 95053
Phone 4088550985

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