05D2269902 CLIA NUMBER - SAFEWAY PHARMACY #2887

Laboratory Demographics

  • CLIA Code: 05D2269902
  • Facility Name: SAFEWAY PHARMACY #2887
  • Facility Address: 150 E EL CAMINO REAL
    SUNNYVALE, CA
    ZIP 94087
  • Facility Phone: 408 732-3565
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LIAM TRAN
  • NPI Number: 1629387360
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2269902
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2887
Street 150 E EL CAMINO REAL
City SUNNYVALE
State CA
ZIP 94087
Phone 408 732-3565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Pharmacy
Lab Director LIAM TRAN

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