05D2081500 CLIA NUMBER - SAFEWAY PHARMACY #1245

Laboratory Demographics

  • CLIA Code: 05D2081500
  • Facility Name: SAFEWAY PHARMACY #1245
  • Facility Address: 15549 UNION AVE
    LOS GATOS, CA
    ZIP 95032
  • Facility Phone: 408 559-5752
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DUONG HO
  • NPI Number: 1992734909
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2081500
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1245
Street 15549 UNION AVE
City LOS GATOS
State CA
ZIP 95032
Phone 408 559-5752
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Pharmacy
Lab Director DUONG HO

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