05D2062156 CLIA NUMBER - SAFEWAY PHARMACY # 2242

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Laboratory Demographics

CLIA Number: 05D2062156

Facility Name: SAFEWAY PHARMACY # 2242

Facility Address:
1025 ALHAMBRA BLVD.
SACRAMENTO, CA
ZIP 95816
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Facility Phone Number: 916 456-3421

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1245269299

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	05D2062156
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY # 2242
Street	1025 ALHAMBRA BLVD.
City	SACRAMENTO
State	CA
ZIP	95816
Phone	916 456-3421
CertificateType	4
CertificateEffectiveDate	4/26/2024
CertificateExpirationDate	4/25/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024