05D2059180 CLIA NUMBER - SAFEWAY PHARMACY #2707

Laboratory Demographics

  • CLIA Code: 05D2059180
  • Facility Name: SAFEWAY PHARMACY #2707
  • Facility Address: 6445 N PACIFIC AVE
    STOCKTON, CA
    ZIP 95207
  • Facility Phone: 209 472-8605
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL DANIEL
  • NPI Number: 1356370399
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2059180
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2707
Street 6445 N PACIFIC AVE
City STOCKTON
State CA
ZIP 95207
Phone 209 472-8605
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Pharmacy
Lab Director DANIEL DANIEL

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This page was last updated on: 9/29/2025