05D2204603 CLIA NUMBER - SAFEWAY PHARMACY#2287

Laboratory Demographics

  • CLIA Code: 05D2204603
  • Facility Name: SAFEWAY PHARMACY#2287
  • Facility Address: 1596 STATE HWY 99
    EAST GRIDLEY, CA
    ZIP 95948
  • Facility Phone: 530 846-7360
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SURINDERPAL M. SARAI
  • NPI Number: 1528097540
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2204603
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY#2287
Street 1596 STATE HWY 99
City EAST GRIDLEY
State CA
ZIP 95948
Phone 530 846-7360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Pharmacy
Lab Director SURINDERPAL M. SARAI

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