05D2273692 CLIA NUMBER - SAFEWAY PHARMACY #1954

Laboratory Demographics

  • CLIA Code: 05D2273692
  • Facility Name: SAFEWAY PHARMACY #1954
  • Facility Address: 2275 PINE ST
    REDDING, CA
    ZIP 96001
  • Facility Phone: 530 247-3040
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RON TAMAYO
  • NPI Number: 1700815727
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2273692
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1954
Street 2275 PINE ST
City REDDING
State CA
ZIP 96001
Phone 530 247-3040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Pharmacy
Lab Director RON TAMAYO

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