05D2085158 CLIA NUMBER - SAFEWAY PHARMACY #2708

Laboratory Demographics

  • CLIA Code: 05D2085158
  • Facility Name: SAFEWAY PHARMACY #2708
  • Facility Address: 2227 S SHORE CENTER
    ALAMEDA, CA
    ZIP 94501
  • Facility Phone: 510 863-9004
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEON LE
  • NPI Number: 1255360293
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2085158
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2708
Street 2227 S SHORE CENTER
City ALAMEDA
State CA
ZIP 94501
Phone 510 863-9004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Pharmacy
Lab Director LEON LE

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This page was last updated on: 3/20/2025