05D2296743 CLIA NUMBER - SAFEWAY PHARMACY 2941

Laboratory Demographics

  • CLIA Code: 05D2296743
  • Facility Name: SAFEWAY PHARMACY 2941
  • Facility Address: 707 CONTRA COSTA BLVD
    PLEASANT HILL, CA
    ZIP 94523
  • Facility Phone: 925 689-8466
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA LEE
  • NPI Number: 1316219082
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2296743
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY 2941
Street 707 CONTRA COSTA BLVD
City PLEASANT HILL
State CA
ZIP 94523
Phone 925 689-8466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Pharmacy
Lab Director JESSICA LEE

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