05D2084648 CLIA NUMBER - SAFEWAY PHARMACY #1476

Laboratory Demographics

  • CLIA Code: 05D2084648
  • Facility Name: SAFEWAY PHARMACY #1476
  • Facility Address: 1300 W SAN CARLOS ST
    SAN JOSE, CA
    ZIP 95126
  • Facility Phone: 408 882-0988
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FRANCINE DOAN
  • NPI Number: 1215973847
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2084648
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1476
Street 1300 W SAN CARLOS ST
City SAN JOSE
State CA
ZIP 95126
Phone 408 882-0988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Pharmacy
Lab Director FRANCINE DOAN

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