38D1003919 CLIA NUMBER - SAFEWAY PHARMACY #1659

Laboratory Demographics

  • CLIA Code: 38D1003919
  • Facility Name: SAFEWAY PHARMACY #1659
  • Facility Address: 1990 14TH AVE SE
    ALBANY, OR
    ZIP 97321
  • Facility Phone: 541 812-2386
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GARRETT FUNSTON
  • NPI Number: 1023047065
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D1003919
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1659
Street 1990 14TH AVE SE
City ALBANY
State OR
ZIP 97321
Phone 541 812-2386
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Pharmacy
Lab Director GARRETT FUNSTON

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