38D1080622 CLIA NUMBER - SAFEWAY PHARMACY #3541

Laboratory Demographics

  • CLIA Code: 38D1080622
  • Facility Name: SAFEWAY PHARMACY #3541
  • Facility Address: 1690 SW ALLEN CREEK RD
    GRANTS PASS, OR
    ZIP 97527
  • Facility Phone: 541 471-7085
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ISMAIL YAZDAD SYED
  • NPI Number: 1053860791
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D1080622
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #3541
Street 1690 SW ALLEN CREEK RD
City GRANTS PASS
State OR
ZIP 97527
Phone 541 471-7085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Pharmacy
Lab Director ISMAIL YAZDAD SYED

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