38D1007050 CLIA NUMBER - SAFEWAY PHARMACY #2623

Laboratory Demographics

  • CLIA Code: 38D1007050
  • Facility Name: SAFEWAY PHARMACY #2623
  • Facility Address: 1140 N SPRINGBROOK RD
    NEWBERG, OR
    ZIP 97132
  • Facility Phone: 503 538-2430
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARRIE MITCHELL
  • NPI Number: 1659317279
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D1007050
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2623
Street 1140 N SPRINGBROOK RD
City NEWBERG
State OR
ZIP 97132
Phone 503 538-2430
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 CARRIE MITCHELL

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