05D2064267 CLIA NUMBER - SAFEWAY PHARMACY # 1583

Laboratory Demographics

  • CLIA Code: 05D2064267
  • Facility Name: SAFEWAY PHARMACY # 1583
  • Facility Address: 653 S STATE ST
    UKIAH, CA
    ZIP 95482
  • Facility Phone: 707 467-2712
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SYLVESTER ANAJE, PIC
  • NPI Number: 1346279361
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2064267
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY # 1583
Street 653 S STATE ST
City UKIAH
State CA
ZIP 95482
Phone 707 467-2712
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 SYLVESTER ANAJE, PIC

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