05D2269704 CLIA NUMBER - SAFEWAY PHARMACY #1932

Laboratory Demographics

  • CLIA Code: 05D2269704
  • Facility Name: SAFEWAY PHARMACY #1932
  • Facility Address: 4440 TASSAJARA RD
    DUBLIN, CA
    ZIP 94568
  • Facility Phone: 925 551-5600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVEN NGUYEN
  • NPI Number: 1447281258
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2269704
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1932
Street 4440 TASSAJARA RD
City DUBLIN
State CA
ZIP 94568
Phone 925 551-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Pharmacy
Lab Director STEVEN NGUYEN

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