38D2081015 CLIA NUMBER - SAFEWAY PHARMACY #0386

Laboratory Demographics

  • CLIA Code: 38D2081015
  • Facility Name: SAFEWAY PHARMACY #0386
  • Facility Address: 1755 IVY ST
    JUNCTION CITY, OR
    ZIP 97448
  • Facility Phone: 541 998-4526
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RITA VAN DOREN
  • NPI Number: 1558390583
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2081015
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0386
Street 1755 IVY ST
City JUNCTION CITY
State OR
ZIP 97448
Phone 541 998-4526
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Pharmacy
Lab Director RITA VAN DOREN

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