05D2292415 CLIA NUMBER - SAFEWAY PHARMACY #2620

Laboratory Demographics

  • CLIA Code: 05D2292415
  • Facility Name: SAFEWAY PHARMACY #2620
  • Facility Address: 9045 WOODCREEK OAKS BLVD
    ROSEVILLE, CA
    ZIP 95747
  • Facility Phone: 916 780-9929
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATIE CHOI
  • NPI Number: 1346279387
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2292415
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2620
Street 9045 WOODCREEK OAKS BLVD
City ROSEVILLE
State CA
ZIP 95747
Phone 916 780-9929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Pharmacy
Lab Director KATIE CHOI

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