05D2091970 CLIA NUMBER - SAFEWAY PHARMACY #1746

Laboratory Demographics

  • CLIA Code: 05D2091970
  • Facility Name: SAFEWAY PHARMACY #1746
  • Facility Address: 10635 FOLSOM BLVD
    RANCHO CORDOVA, CA
    ZIP 95670
  • Facility Phone: 916 361-4944
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GINBAR L. DASHA
  • NPI Number: 1033148069
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2091970
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1746
Street 10635 FOLSOM BLVD
City RANCHO CORDOVA
State CA
ZIP 95670
Phone 916 361-4944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Pharmacy
Lab Director GINBAR L. DASHA

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