05D2094643 CLIA NUMBER - SAFEWAY PHARMACY #3127

Laboratory Demographics

  • CLIA Code: 05D2094643
  • Facility Name: SAFEWAY PHARMACY #3127
  • Facility Address: 1291 SANGUINETTI RD
    SONORA, CA
    ZIP 95370
  • Facility Phone: 209 533-7812
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EDGARD YOONAN
  • NPI Number: 1538198551
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2094643
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #3127
Street 1291 SANGUINETTI RD
City SONORA
State CA
ZIP 95370
Phone 209 533-7812
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Pharmacy
Lab Director EDGARD YOONAN

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