05D2304974 CLIA NUMBER - SAFEWAY PHARMACY #2607

Laboratory Demographics

  • CLIA Code: 05D2304974
  • Facility Name: SAFEWAY PHARMACY #2607
  • Facility Address: 2203 MISSION ST
    SANTA CRUZ, CA
    ZIP 95060
  • Facility Phone: 831 420-0785
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY L. PACIS
  • NPI Number: 1174750939
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2304974
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2607
Street 2203 MISSION ST
City SANTA CRUZ
State CA
ZIP 95060
Phone 831 420-0785
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Pharmacy
Lab Director KIMBERLY L. PACIS

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