05D2284916 CLIA NUMBER - SAFEWAY PHARMACY #0911

Laboratory Demographics

  • CLIA Code: 05D2284916
  • Facility Name: SAFEWAY PHARMACY #0911
  • Facility Address: 477 W NAPA ST
    SONOMA, CA
    ZIP 95476
  • Facility Phone: 707 996-3697
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELISSA EVERITT
  • NPI Number: 1548206154
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2284916
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0911
Street 477 W NAPA ST
City SONOMA
State CA
ZIP 95476
Phone 707 996-3697
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Pharmacy
Lab Director MELISSA EVERITT

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