05D2062159 CLIA NUMBER - SAFEWAY PHARMACY #799

Laboratory Demographics

  • CLIA Code: 05D2062159
  • Facility Name: SAFEWAY PHARMACY #799
  • Facility Address: 117 MORRISSEY BLVD
    SANTA CRUZ, CA
    ZIP 95062
  • Facility Phone: 831 426-8911
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELYN GILBERT
  • NPI Number: 1710923354
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2062159
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #799
Street 117 MORRISSEY BLVD
City SANTA CRUZ
State CA
ZIP 95062
Phone 831 426-8911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2023
Certificate Expiration Date 7/10/2025
Facility Type Pharmacy
Lab Director JACQUELYN GILBERT

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: 6/4/2025