05D2111288 CLIA NUMBER - SAFEWAY PHARMACY #3281

Laboratory Demographics

  • CLIA Code: 05D2111288
  • Facility Name: SAFEWAY PHARMACY #3281
  • Facility Address: 2600 5TH ST
    ALAMEDA, CA
    ZIP 94501
  • Facility Phone: 510 523-1827
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TINA MAI
  • NPI Number: 1508261520
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2111288
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #3281
Street 2600 5TH ST
City ALAMEDA
State CA
ZIP 94501
Phone 510 523-1827
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Pharmacy
Lab Director TINA MAI

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