38D1027402 CLIA NUMBER - SAFEWAY PHARMACY #0444

Laboratory Demographics

  • CLIA Code: 38D1027402
  • Facility Name: SAFEWAY PHARMACY #0444
  • Facility Address: 990 S HIGHWAY 395
    HERMISTON, OR
    ZIP 97838
  • Facility Phone: 541 564-1285
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANIKA FANOL
  • NPI Number: 1407885445
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D1027402
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0444
Street 990 S HIGHWAY 395
City HERMISTON
State OR
ZIP 97838
Phone 541 564-1285
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Pharmacy
Lab Director ANIKA FANOL

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