05D2090864 CLIA NUMBER - SAFEWAY PHARMACY #1215

Laboratory Demographics

  • CLIA Code: 05D2090864
  • Facility Name: SAFEWAY PHARMACY #1215
  • Facility Address: 660 BAILEY RD
    PITTSBURG, CA
    ZIP 94565
  • Facility Phone: 925 458-0930
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JYOTI BORSE
  • NPI Number: 1265478879
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2090864
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1215
Street 660 BAILEY RD
City PITTSBURG
State CA
ZIP 94565
Phone 925 458-0930
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Pharmacy
Lab Director JYOTI BORSE

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