38D2083551 CLIA NUMBER - SAFEWAY PHARMACY #1070

Laboratory Demographics

  • CLIA Code: 38D2083551
  • Facility Name: SAFEWAY PHARMACY #1070
  • Facility Address: 1001 SW HIGHLAND DR
    GRESHAM, OR
    ZIP 97030
  • Facility Phone: 503 667-9305
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN ALLEN
  • NPI Number: 1386673317
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2083551
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1070
Street 1001 SW HIGHLAND DR
City GRESHAM
State OR
ZIP 97030
Phone 503 667-9305
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Pharmacy
Lab Director RYAN ALLEN

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