38D2081032 CLIA NUMBER - SAFEWAY PHARMACY #1643

Laboratory Demographics

  • CLIA Code: 38D2081032
  • Facility Name: SAFEWAY PHARMACY #1643
  • Facility Address: 3169 CRATER LAKE HWY
    MEDFORD, OR
    ZIP 97504
  • Facility Phone: 541 774-4346
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEHARI GEBREMESKEL
  • NPI Number: 1609807411
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2081032
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1643
Street 3169 CRATER LAKE HWY
City MEDFORD
State OR
ZIP 97504
Phone 541 774-4346
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 MEHARI GEBREMESKEL

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