38D2081028 CLIA NUMBER - SAFEWAY PHARMACY #1556

Laboratory Demographics

  • CLIA Code: 38D2081028
  • Facility Name: SAFEWAY PHARMACY #1556
  • Facility Address: 230 E JOHNSON AVE
    COOS BAY, OR
    ZIP 97420
  • Facility Phone: (541) 267-1709
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALFRED ABRAHAMSEN
  • NPI Number: 1588693527
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2081028
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1556
Street 230 E JOHNSON AVE
City COOS BAY
State OR
ZIP 97420
Phone 5412671709
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 ALFRED ABRAHAMSEN

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This page was last updated on: 5/18/2026