38D1080545 CLIA NUMBER - SAFEWAY PHARMACY #3542

Laboratory Demographics

  • CLIA Code: 38D1080545
  • Facility Name: SAFEWAY PHARMACY #3542
  • Facility Address: 14300 SW BARROWS RD
    TIGARD, OR
    ZIP 97223
  • Facility Phone: 503 590-0411
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY LIM
  • NPI Number: 1821443631
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D1080545
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #3542
Street 14300 SW BARROWS RD
City TIGARD
State OR
ZIP 97223
Phone 503 590-0411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Pharmacy
Lab Director MARY LIM

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