05D2268589 CLIA NUMBER - SAFEWAY PHARMACY #0785

Laboratory Demographics

  • CLIA Code: 05D2268589
  • Facility Name: SAFEWAY PHARMACY #0785
  • Facility Address: 850 LA PLAYA ST
    SAN FRANCISCO, CA
    ZIP 94121
  • Facility Phone: 415 387-0481
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAWAN SALAMEH
  • NPI Number: 1043256639
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2268589
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0785
Street 850 LA PLAYA ST
City SAN FRANCISCO
State CA
ZIP 94121
Phone 415 387-0481
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Pharmacy
Lab Director JAWAN SALAMEH

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