38D1052236 CLIA NUMBER - SAFEWAY PHARMACY #0290

Laboratory Demographics

  • CLIA Code: 38D1052236
  • Facility Name: SAFEWAY PHARMACY #0290
  • Facility Address: 115 E 7TH ST
    GRANTS PASS, OR
    ZIP 97526
  • Facility Phone: 541 956-7546
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHELBEY BATH
  • NPI Number: 1801825831
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D1052236
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0290
Street 115 E 7TH ST
City GRANTS PASS
State OR
ZIP 97526
Phone 541 956-7546
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Pharmacy
Lab Director SHELBEY BATH

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