38D2081027 CLIA NUMBER - SAFEWAY PHARMACY #1525

Laboratory Demographics

  • CLIA Code: 38D2081027
  • Facility Name: SAFEWAY PHARMACY #1525
  • Facility Address: 13485 NW CORNELL RD
    PORTLAND, OR
    ZIP 97229
  • Facility Phone: 503 350-2086
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON KUAN
  • NPI Number: 1679502611
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2081027
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1525
Street 13485 NW CORNELL RD
City PORTLAND
State OR
ZIP 97229
Phone 503 350-2086
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 JASON KUAN

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