05D2059174 CLIA NUMBER - SAFEWAY PHARMACY #2646

Laboratory Demographics

  • CLIA Code: 05D2059174
  • Facility Name: SAFEWAY PHARMACY #2646
  • Facility Address: 735 7TH AVE
    SAN FRANCISCO, CA
    ZIP 94118
  • Facility Phone: 415 683-4074
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HIU Q. TING PIC
  • NPI Number: 1942483912
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2059174
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2646
Street 735 7TH AVE
City SAN FRANCISCO
State CA
ZIP 94118
Phone 415 683-4074
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Pharmacy
Lab Director HIU Q. TING PIC

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This page was last updated on: 6/4/2025