05D2080923 CLIA NUMBER - SAFEWAY PHARMACY #0993

Laboratory Demographics

  • CLIA Code: 05D2080923
  • Facility Name: SAFEWAY PHARMACY #0993
  • Facility Address: 3902 WASHINGTON ST
    FREMONT, CA
    ZIP 94538
  • Facility Phone: 510 490-6695
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NHUNG THI HONG PHAM
  • NPI Number: 1326084930
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2080923
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0993
Street 3902 WASHINGTON ST
City FREMONT
State CA
ZIP 94538
Phone 510 490-6695
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Pharmacy
Lab Director NHUNG THI HONG PHAM

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