05D2084229 CLIA NUMBER - SAFEWAY PHARMACY #3125

Laboratory Demographics

  • CLIA Code: 05D2084229
  • Facility Name: SAFEWAY PHARMACY #3125
  • Facility Address: 3889 SAN PABLO AVE
    EMERYVILLE, CA
    ZIP 94608
  • Facility Phone: 510 768-1034
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARGARET VAN VEEN SMITH
  • NPI Number: 1184050924
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2084229
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #3125
Street 3889 SAN PABLO AVE
City EMERYVILLE
State CA
ZIP 94608
Phone 510 768-1034
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2024
Certificate Expiration Date 9/18/2026
Facility Type Pharmacy
Lab Director MARGARET VAN VEEN SMITH

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This page was last updated on: 6/4/2025