05D2269487 CLIA NUMBER - SAFEWAY PHARMACY #1531

Laboratory Demographics

  • CLIA Code: 05D2269487
  • Facility Name: SAFEWAY PHARMACY #1531
  • Facility Address: 7301 GREENBACK LAN
    CITRUS HEIGHTS, CA
    ZIP 95621
  • Facility Phone: 916 727-2458
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MUNDIP DHILLON
  • NPI Number: 1801825823
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2269487
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1531
Street 7301 GREENBACK LAN
City CITRUS HEIGHTS
State CA
ZIP 95621
Phone 916 727-2458
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Pharmacy
Lab Director MUNDIP DHILLON

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