05D2062156 CLIA NUMBER - SAFEWAY PHARMACY # 2242

Laboratory Demographics

  • CLIA Code: 05D2062156
  • Facility Name: SAFEWAY PHARMACY # 2242
  • Facility Address: 1025 ALHAMBRA BLVD.
    SACRAMENTO, CA
    ZIP 95816
  • Facility Phone: 916 456-3421
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALLISON LEE RPH
  • NPI Number: 1245269299
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Pharmacy
Lab Director ALLISON LEE RPH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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