05D2059774 CLIA NUMBER - SAFEWAY PHARMACY #1434

Laboratory Demographics

  • CLIA Code: 05D2059774
  • Facility Name: SAFEWAY PHARMACY #1434
  • Facility Address: 9080 BROOKS RD S
    WINDSOR, CA
    ZIP 95492
  • Facility Phone: 707 837-2002
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KENNETH WELD RPH
  • NPI Number: 1235175845
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2059774
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1434
Street 9080 BROOKS RD S
City WINDSOR
State CA
ZIP 95492
Phone 707 837-2002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Pharmacy
Lab Director KENNETH WELD RPH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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