05D2087010 CLIA NUMBER - SAFEWAY PHARMACY #1195

Laboratory Demographics

  • CLIA Code: 05D2087010
  • Facility Name: SAFEWAY PHARMACY #1195
  • Facility Address: 5432 CLAYTON RD
    CLAYTON, CA
    ZIP 94517
  • Facility Phone: 925 672-2107
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EILEEN CHAN CHEONG LEE
  • NPI Number: 1417983297
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2087010
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1195
Street 5432 CLAYTON RD
City CLAYTON
State CA
ZIP 94517
Phone 925 672-2107
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Pharmacy
Lab Director EILEEN CHAN CHEONG LEE

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