05D2064249 CLIA NUMBER - SAFEWAY PHARMACY # 2841

Laboratory Demographics

  • CLIA Code: 05D2064249
  • Facility Name: SAFEWAY PHARMACY # 2841
  • Facility Address: 815 CANYON DEL REY BLVD
    DEL REY OAKS, CA
    ZIP 93940
  • Facility Phone: 831 393-2104
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFREY VOZZO
  • NPI Number: 1447296082
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2064249
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY # 2841
Street 815 CANYON DEL REY BLVD
City DEL REY OAKS
State CA
ZIP 93940
Phone 831 393-2104
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Pharmacy
Lab Director JEFFREY VOZZO

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