05D2059780 CLIA NUMBER - SAFEWAY PHARMACY # 2856

Laboratory Demographics

  • CLIA Code: 05D2059780
  • Facility Name: SAFEWAY PHARMACY # 2856
  • Facility Address: 6790 BERNAL AVE
    PLEASANTON, CA
    ZIP 94566
  • Facility Phone: 925 484-1960
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIT CHEANG
  • NPI Number: 1588940225
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2059780
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY # 2856
Street 6790 BERNAL AVE
City PLEASANTON
State CA
ZIP 94566
Phone 925 484-1960
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 KIT CHEANG

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