05D2091921 CLIA NUMBER - SAFEWAY PHARMACY #1895

Laboratory Demographics

  • CLIA Code: 05D2091921
  • Facility Name: SAFEWAY PHARMACY #1895
  • Facility Address: 5450 DEWEY DR
    FAIR OAKS, CA
    ZIP 95628
  • Facility Phone: 916 904-5360
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THUY NGUYEN
  • NPI Number: 1629007661
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2091921
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1895
Street 5450 DEWEY DR
City FAIR OAKS
State CA
ZIP 95628
Phone 916 904-5360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Pharmacy
Lab Director THUY NGUYEN

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