05D2060261 CLIA NUMBER - SAFEWAY PHARMACY #1257

Laboratory Demographics

  • CLIA Code: 05D2060261
  • Facility Name: SAFEWAY PHARMACY #1257
  • Facility Address: 4495 FIRST ST
    LIVERMORE, CA
    ZIP 94551
  • Facility Phone: 925 455-2522
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KARUNA TIRUMALA
  • NPI Number: 1598701104
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2060261
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1257
Street 4495 FIRST ST
City LIVERMORE
State CA
ZIP 94551
Phone 925 455-2522
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 KARUNA TIRUMALA

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