05D2065394 CLIA NUMBER - SAFEWAY PHARMACY #0964

Laboratory Demographics

  • CLIA Code: 05D2065394
  • Facility Name: SAFEWAY PHARMACY #0964
  • Facility Address: 4950 MISSION ST
    SAN FRANCISCO, CA
    ZIP 94112
  • Facility Phone: 415 239-8010
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEX PHAM
  • NPI Number: 1215966247
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2065394
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0964
Street 4950 MISSION ST
City SAN FRANCISCO
State CA
ZIP 94112
Phone 415 239-8010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director ALEX PHAM

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