05D2059173 CLIA NUMBER - SAFEWAY PHARMACY #3011

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Laboratory Demographics

CLIA Number: 05D2059173

Facility Name: SAFEWAY PHARMACY #3011

Facility Address:
389 S MCDOWELL BLVD
PETALUMA, CA
ZIP 94952
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Facility Phone Number: (707) 766-9477

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1962448571

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	05D2059173
LAB Type	PHARMACY
Facility Name	SAFEWAY PHARMACY #3011
Street	389 S MCDOWELL BLVD
City	PETALUMA
State	CA
ZIP	94952
Phone	(707) 766-9477

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