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38D1003921 CLIA NUMBER - SAFEWAY PHARMACY #1447

Laboratory Demographics

CLIA Number: 38D1003921

Facility Name: SAFEWAY PHARMACY #1447

Facility Address:
6901 NE SANDY BLVD
PORTLAND, OR
ZIP 97213
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Facility Phone Number: 503 280-1212

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1497784433

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 38D1003921
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1447
Street 6901 NE SANDY BLVD
City PORTLAND
State OR
ZIP 97213
Phone 503 280-1212
CertificateType 4
CertificateEffectiveDate 12/19/2022
CertificateExpirationDate 12/18/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024