05D2268594 CLIA NUMBER - SAFEWAY PHARMACY #0908

Laboratory Demographics

  • CLIA Code: 05D2268594
  • Facility Name: SAFEWAY PHARMACY #0908
  • Facility Address: 3550 FRUITVALE AVE
    OAKLAND, CA
    ZIP 94602
  • Facility Phone: 510 336-9305
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VICTOR M. MENDOZA
  • NPI Number: 1376572313
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2268594
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0908
Street 3550 FRUITVALE AVE
City OAKLAND
State CA
ZIP 94602
Phone 510 336-9305
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 VICTOR M. MENDOZA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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