38D2081043 CLIA NUMBER - SAFEWAY PHARMACY #1960

Laboratory Demographics

  • CLIA Code: 38D2081043
  • Facility Name: SAFEWAY PHARMACY #1960
  • Facility Address: 80 NE CEDAR ST
    MADRAS, OR
    ZIP 97741
  • Facility Phone: 541 325-0466
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHANI A. HOWELL
  • NPI Number: 1639108665
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2081043
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1960
Street 80 NE CEDAR ST
City MADRAS
State OR
ZIP 97741
Phone 541 325-0466
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 SHANI A. HOWELL

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