05D2080335 CLIA NUMBER - SAFEWAY PHARMACY #1846

Laboratory Demographics

  • CLIA Code: 05D2080335
  • Facility Name: SAFEWAY PHARMACY #1846
  • Facility Address: 8925 MADISON AVE
    FAIR OAKS, CA
    ZIP 95628
  • Facility Phone: 916 965-1541
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BETTY N. LEE
  • NPI Number: 1952550543
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2080335
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1846
Street 8925 MADISON AVE
City FAIR OAKS
State CA
ZIP 95628
Phone 916 965-1541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Pharmacy
Lab Director BETTY N. LEE

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