38D2083546 CLIA NUMBER - SAFEWAY PHARMACY #1516

Laboratory Demographics

  • CLIA Code: 38D2083546
  • Facility Name: SAFEWAY PHARMACY #1516
  • Facility Address: 4990 N RIVER RD
    KEIZER, OR
    ZIP 97303
  • Facility Phone: 503 390-8819
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRYE BISHOP
  • NPI Number: 1760411706
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2083546
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1516
Street 4990 N RIVER RD
City KEIZER
State OR
ZIP 97303
Phone 503 390-8819
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 BRYE BISHOP

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