05D2065864 CLIA NUMBER - SAFEWAY PHARMACY #0955

Laboratory Demographics

  • CLIA Code: 05D2065864
  • Facility Name: SAFEWAY PHARMACY #0955
  • Facility Address: 2600 WILLOW PASS RD
    CONCORD, CA
    ZIP 94520
  • Facility Phone: 925 689-0895
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARK RYAN G. YAP PIC
  • NPI Number: 1457397234
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2065864
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0955
Street 2600 WILLOW PASS RD
City CONCORD
State CA
ZIP 94520
Phone 925 689-0895
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Pharmacy
Lab Director MARK RYAN G. YAP PIC

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