05D2093285 CLIA NUMBER - SAFEWAY PHARMACY #1929

Laboratory Demographics

  • CLIA Code: 05D2093285
  • Facility Name: SAFEWAY PHARMACY #1929
  • Facility Address: 2720 41ST AVE
    SOQUEL, CA
    ZIP 95073
  • Facility Phone: 831 477-7217
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL HASTINGS
  • NPI Number: 1639227283
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2093285
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1929
Street 2720 41ST AVE
City SOQUEL
State CA
ZIP 95073
Phone 831 477-7217
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Pharmacy
Lab Director DANIEL HASTINGS

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