05D2059511 CLIA NUMBER - SAFEWAY PHARMACY #0998

Laboratory Demographics

  • CLIA Code: 05D2059511
  • Facility Name: SAFEWAY PHARMACY #0998
  • Facility Address: 1115 VINE ST
    HEALDSBURG, CA
    ZIP 95448
  • Facility Phone: 707 431-0128
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RHODA MAGLAYA
  • NPI Number: 1306882923
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2059511
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0998
Street 1115 VINE ST
City HEALDSBURG
State CA
ZIP 95448
Phone 707 431-0128
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Pharmacy
Lab Director RHODA MAGLAYA

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