05D2060262 CLIA NUMBER - SAFEWAY PHARMACY #0970

Laboratory Demographics

  • CLIA Code: 05D2060262
  • Facility Name: SAFEWAY PHARMACY #0970
  • Facility Address: 1655 EL CAMINO REAL
    SAN MATEO, CA
    ZIP 94402
  • Facility Phone: 650 341-3305
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALBERT WU
  • NPI Number: 1093751604
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2060262
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0970
Street 1655 EL CAMINO REAL
City SAN MATEO
State CA
ZIP 94402
Phone 650 341-3305
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 ALBERT WU

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