05D2270140 CLIA NUMBER - SAFEWAY PHARMACY #3095

Laboratory Demographics

  • CLIA Code: 05D2270140
  • Facility Name: SAFEWAY PHARMACY #3095
  • Facility Address: 2980 E CAPITAL EXPRESSWAY
    SAN JOSE, CA
    ZIP 95148
  • Facility Phone: 408 274-5939
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANH T. LE
  • NPI Number: 1619372646
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2270140
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #3095
Street 2980 E CAPITAL EXPRESSWAY
City SAN JOSE
State CA
ZIP 95148
Phone 408 274-5939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Pharmacy
Lab Director ANH T. LE

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