38D2081034 CLIA NUMBER - SAFEWAY PHARMACY #1713

Laboratory Demographics

  • CLIA Code: 38D2081034
  • Facility Name: SAFEWAY PHARMACY #1713
  • Facility Address: 22000 SALAMO RD
    WEST LINN, OR
    ZIP 97068
  • Facility Phone: 503 650-6426
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DARALYN KAWAMOTO
  • NPI Number: 1013946060
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2081034
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1713
Street 22000 SALAMO RD
City WEST LINN
State OR
ZIP 97068
Phone 503 650-6426
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 DARALYN KAWAMOTO

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