05D2268589 CLIA NUMBER - SAFEWAY PHARMACY #0785

Laboratory Demographics

CLIA Number: 05D2268589

Facility Name: SAFEWAY PHARMACY #0785

Facility Address:
850 LA PLAYA ST
SAN FRANCISCO, CA
ZIP 94121
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Facility Phone Number: 415 387-0481

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1043256639

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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
CertificateType	4
CertificateEffectiveDate	9/14/2022
CertificateExpirationDate	9/13/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024