05D2204613 CLIA NUMBER - SAFEWAY PHARMACY#1899

Laboratory Demographics

  • CLIA Code: 05D2204613
  • Facility Name: SAFEWAY PHARMACY#1899
  • Facility Address: 989 SUNRISE AVE
    ROSEVILLE, CA
    ZIP 95661
  • Facility Phone: 916 773-4115
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: IULIA CORLATEANU
  • NPI Number: 1558392365
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2204613
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY#1899
Street 989 SUNRISE AVE
City ROSEVILLE
State CA
ZIP 95661
Phone 916 773-4115
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 IULIA CORLATEANU

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