38D1080687 CLIA NUMBER - SAFEWAY PHARMACY #0591

Laboratory Demographics

  • CLIA Code: 38D1080687
  • Facility Name: SAFEWAY PHARMACY #0591
  • Facility Address: 888 NE 25TH AVE
    HILLSBORO, OR
    ZIP 97124
  • Facility Phone: 503 681-8640
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN P. CLEVEN
  • NPI Number: 1427004423
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D1080687
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0591
Street 888 NE 25TH AVE
City HILLSBORO
State OR
ZIP 97124
Phone 503 681-8640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Pharmacy
Lab Director RYAN P. CLEVEN

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