05D2083390 CLIA NUMBER - SAFEWAY PHARMACY #2878

Laboratory Demographics

  • CLIA Code: 05D2083390
  • Facility Name: SAFEWAY PHARMACY #2878
  • Facility Address: 525 EL CAMINO REAL
    MILLBRAE, CA
    ZIP 94030
  • Facility Phone: 650 652-3477
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHELLY SHARMA
  • NPI Number: 1528405065
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2083390
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2878
Street 525 EL CAMINO REAL
City MILLBRAE
State CA
ZIP 94030
Phone 650 652-3477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Pharmacy
Lab Director SHELLY SHARMA

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