05D2059775 CLIA NUMBER - SAFEWAY PHARMACY #2719

Laboratory Demographics

  • CLIA Code: 05D2059775
  • Facility Name: SAFEWAY PHARMACY #2719
  • Facility Address: 525 EL CAMINO REAL
    MENLO PARK, CA
    ZIP 94025
  • Facility Phone: 650 847-2905
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NURAT YUSUF
  • NPI Number: 1265461289
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2059775
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2719
Street 525 EL CAMINO REAL
City MENLO PARK
State CA
ZIP 94025
Phone 650 847-2905
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2025
Certificate Expiration Date 5/29/2027
Facility Type Pharmacy
Lab Director NURAT YUSUF

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