05D2080547 CLIA NUMBER - SAFEWAY PHARMACY #0273

Laboratory Demographics

  • CLIA Code: 05D2080547
  • Facility Name: SAFEWAY PHARMACY #0273
  • Facility Address: 2601 BALLS FERRY RD
    ANDERSON, CA
    ZIP 96007
  • Facility Phone: 530 365-1010
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TERRA WHITE
  • NPI Number: 1861421810
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2080547
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0273
Street 2601 BALLS FERRY RD
City ANDERSON
State CA
ZIP 96007
Phone 530 365-1010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Pharmacy
Lab Director TERRA WHITE

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