05D2268611 CLIA NUMBER - SAFEWAY PHARMACY #0956

Laboratory Demographics

  • CLIA Code: 05D2268611
  • Facility Name: SAFEWAY PHARMACY #0956
  • Facility Address: 1799 MARLOW RD
    SANTA ROSA, CA
    ZIP 95401
  • Facility Phone: 707 528-3730
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RHODA E. MAGLAYA
  • NPI Number: 1063441004
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2268611
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0956
Street 1799 MARLOW RD
City SANTA ROSA
State CA
ZIP 95401
Phone 707 528-3730
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 RHODA E. MAGLAYA

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