05D2084237 CLIA NUMBER - SAFEWAY PHARMACY #768

Laboratory Demographics

  • CLIA Code: 05D2084237
  • Facility Name: SAFEWAY PHARMACY #768
  • Facility Address: 20629 REDWOOD RD
    CASTRO VALLEY, CA
    ZIP 94546
  • Facility Phone: 510 538-0268
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PEGGY KWAN
  • NPI Number: 1770512725
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2084237
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #768
Street 20629 REDWOOD RD
City CASTRO VALLEY
State CA
ZIP 94546
Phone 510 538-0268
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 PEGGY KWAN

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