05D2273987 CLIA NUMBER - SAFEWAY PHARMACY #1931

Laboratory Demographics

  • CLIA Code: 05D2273987
  • Facility Name: SAFEWAY PHARMACY #1931
  • Facility Address: 46848 MISSION BLVD
    FREMONT, CA
    ZIP 94539
  • Facility Phone: 510 497-1015
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALLISON DANG
  • NPI Number: 1598701369
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2273987
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1931
Street 46848 MISSION BLVD
City FREMONT
State CA
ZIP 94539
Phone 510 497-1015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Pharmacy
Lab Director ALLISON DANG

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