05D2060256 CLIA NUMBER - SAFEWAY PHARMACY # 1192

Laboratory Demographics

  • CLIA Code: 05D2060256
  • Facility Name: SAFEWAY PHARMACY # 1192
  • Facility Address: 4309 CLAYTON RD.
    CONCORD, CA
    ZIP 94521
  • Facility Phone: 925 356-2712
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AJNI GEORGE
  • NPI Number: 1861438459
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2060256
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY # 1192
Street 4309 CLAYTON RD.
City CONCORD
State CA
ZIP 94521
Phone 925 356-2712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Pharmacy
Lab Director AJNI GEORGE

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