05D2059176 CLIA NUMBER - SAFEWAY PHARMACY #1631

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Laboratory Demographics

CLIA Number: 05D2059176

Facility Name: SAFEWAY PHARMACY #1631

Facility Address:
122 ROBLES WAY
VALLEJO, CA
ZIP 94591
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Facility Phone Number: (707) 554-6908

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1326074105

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	05D2059176
LAB Type	PHARMACY
Facility Name	SAFEWAY PHARMACY #1631
Street	122 ROBLES WAY
City	VALLEJO
State	CA
ZIP	94591
Phone	(707) 554-6908

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