05D2059777 CLIA NUMBER - SAFEWAY PHARMACY #1490

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Laboratory Demographics

CLIA Number: 05D2059777

Facility Name: SAFEWAY PHARMACY #1490

Facility Address:
2300 16TH ST
SAN FRANCISCO, CA
ZIP 94103
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Facility Phone Number: 415 575-1130

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1144266743

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	05D2059777
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY #1490
Street	2300 16TH ST
City	SAN FRANCISCO
State	CA
ZIP	94103
Phone	415 575-1130
CertificateType	4
CertificateEffectiveDate	5/30/2023
CertificateExpirationDate	5/29/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024