05D2060303 CLIA NUMBER - SAFEWAY PHARMACY #0950

Laboratory Demographics

  • CLIA Code: 05D2060303
  • Facility Name: SAFEWAY PHARMACY #0950
  • Facility Address: 16405 HIGHWAY 116
    GUERNEVILLE, CA
    ZIP 95446
  • Facility Phone: 707 869-0613
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARK SKAAR
  • NPI Number: 1285663229
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2060303
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0950
Street 16405 HIGHWAY 116
City GUERNEVILLE
State CA
ZIP 95446
Phone 707 869-0613
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 MARK SKAAR

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