05D2080550 CLIA NUMBER - SAFEWAY PHARMACY #1761

Laboratory Demographics

  • CLIA Code: 05D2080550
  • Facility Name: SAFEWAY PHARMACY #1761
  • Facility Address: 67 LINCOLN BLVD
    LINCOLN, CA
    ZIP 95648
  • Facility Phone: 916 408-0810
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EUN JI HONG
  • NPI Number: 1932111804
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2080550
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1761
Street 67 LINCOLN BLVD
City LINCOLN
State CA
ZIP 95648
Phone 916 408-0810
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 EUN JI HONG

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