05D2268603 CLIA NUMBER - SAFEWAY PHARMACY #0917

Laboratory Demographics

  • CLIA Code: 05D2268603
  • Facility Name: SAFEWAY PHARMACY #0917
  • Facility Address: 600 S BROADWAY
    WALNUT CREEK, CA
    ZIP 94596
  • Facility Phone: 925 945-3440
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIELLE TRAN
  • NPI Number: 1891724829
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2268603
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0917
Street 600 S BROADWAY
City WALNUT CREEK
State CA
ZIP 94596
Phone 925 945-3440
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 DANIELLE TRAN

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