38D2081084 CLIA NUMBER - SAFEWAY PHARMACY #1976

Laboratory Demographics

  • CLIA Code: 38D2081084
  • Facility Name: SAFEWAY PHARMACY #1976
  • Facility Address: 1550 N PACIFIC HWY
    WOODBURN, OR
    ZIP 97071
  • Facility Phone: 503 982-2864
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CONNIE CHAN
  • NPI Number: 1598794539
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2081084
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1976
Street 1550 N PACIFIC HWY
City WOODBURN
State OR
ZIP 97071
Phone 503 982-2864
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Pharmacy
Lab Director CONNIE CHAN

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