38D2081045 CLIA NUMBER - SAFEWAY PHARMACY #2690

Laboratory Demographics

  • CLIA Code: 38D2081045
  • Facility Name: SAFEWAY PHARMACY #2690
  • Facility Address: 4320 SE KING RD
    MILWAUKIE, OR
    ZIP 97222
  • Facility Phone: 503 659-1840
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL BUYS
  • NPI Number: 1043231020
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2081045
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2690
Street 4320 SE KING RD
City MILWAUKIE
State OR
ZIP 97222
Phone 503 659-1840
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 DANIEL BUYS

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