38D1007049 CLIA NUMBER - SAFEWAY PHARMACY #2631

Laboratory Demographics

  • CLIA Code: 38D1007049
  • Facility Name: SAFEWAY PHARMACY #2631
  • Facility Address: 14555 SW TEAL BLVD
    BEAVERTON, OR
    ZIP 97007
  • Facility Phone: 503 590-9756
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE PHAM
  • NPI Number: 1568491512
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D1007049
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2631
Street 14555 SW TEAL BLVD
City BEAVERTON
State OR
ZIP 97007
Phone 503 590-9756
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Pharmacy
Lab Director JACQUELINE PHAM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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