05D2269910 CLIA NUMBER - SAFEWAY PHARMACY #3132

Laboratory Demographics

  • CLIA Code: 05D2269910
  • Facility Name: SAFEWAY PHARMACY #3132
  • Facility Address: 5100 BROADWAY
    OAKLAND, CA
    ZIP 94611
  • Facility Phone: 510 285-0790
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SON HO
  • NPI Number: 1801825815
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2269910
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #3132
Street 5100 BROADWAY
City OAKLAND
State CA
ZIP 94611
Phone 510 285-0790
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 SON HO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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