05D2062160 CLIA NUMBER - SAFEWAY PHARMACY # 1711

Laboratory Demographics

  • CLIA Code: 05D2062160
  • Facility Name: SAFEWAY PHARMACY # 1711
  • Facility Address: 15 MARINA BLVD.
    SAN FRANCISCO, CA
    ZIP 94123
  • Facility Phone: 415 563-8681
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHARAN KHATRA, PIC
  • NPI Number: 1033155668
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2062160
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY # 1711
Street 15 MARINA BLVD.
City SAN FRANCISCO
State CA
ZIP 94123
Phone 415 563-8681
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Pharmacy
Lab Director SHARAN KHATRA, PIC

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