05D2062160 CLIA NUMBER - SAFEWAY PHARMACY # 1711

Home > CLIA Lookup > 05D2062160

Laboratory Demographics

CLIA Number: 05D2062160

Facility Name: SAFEWAY PHARMACY # 1711

Facility Address:
15 MARINA BLVD.
SAN FRANCISCO, CA
ZIP 94123
Get Directions

Facility Phone Number: 415 563-8681

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1033155668

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	05D2062160
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY # 1711
Street	15 MARINA BLVD.
City	SAN FRANCISCO
State	CA
ZIP	94123
Phone	415 563-8681
CertificateType	4
CertificateEffectiveDate	7/11/2023
CertificateExpirationDate	7/10/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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