05D2058421 CLIA NUMBER - SAFEWAY PHARMACY # 2828

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Laboratory Demographics

CLIA Number: 05D2058421

Facility Name: SAFEWAY PHARMACY # 2828

Facility Address:
5720 NAVE DRIVE
NOVATO, CA
ZIP 94949
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Facility Phone Number: (415) 881-9260

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1124064753

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	05D2058421
LAB Type	PHARMACY
Facility Name	SAFEWAY PHARMACY # 2828
Street	5720 NAVE DRIVE
City	NOVATO
State	CA
ZIP	94949
Phone	(415) 881-9260

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