05D2268623 CLIA NUMBER - SAFEWAY PHARMACY #1110

Laboratory Demographics

  • CLIA Code: 05D2268623
  • Facility Name: SAFEWAY PHARMACY #1110
  • Facility Address: 1546 N MAIN ST
    SALINAS, CA
    ZIP 93906
  • Facility Phone: 831 442-7502
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GRACE BATHKE
  • NPI Number: 1053357657
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2268623
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1110
Street 1546 N MAIN ST
City SALINAS
State CA
ZIP 93906
Phone 831 442-7502
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 GRACE BATHKE

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