05D2065392 CLIA NUMBER - SAFEWAY PHARMACY #1507

Laboratory Demographics

  • CLIA Code: 05D2065392
  • Facility Name: SAFEWAY PHARMACY #1507
  • Facility Address: 2020 MARKET ST
    SAN FRANCISCO, CA
    ZIP 94112
  • Facility Phone: 415 436-9032
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VIRGINIA S. CHANG
  • NPI Number: 1528004124
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2065392
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1507
Street 2020 MARKET ST
City SAN FRANCISCO
State CA
ZIP 94112
Phone 415 436-9032
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Pharmacy
Lab Director VIRGINIA S. CHANG

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