38D2083552 CLIA NUMBER - SAFEWAY PHARMACY #0424

Laboratory Demographics

  • CLIA Code: 38D2083552
  • Facility Name: SAFEWAY PHARMACY #0424
  • Facility Address: 795 S COLUMBIA RIVER HWY
    ST HELENS, OR
    ZIP 97051
  • Facility Phone: 503 397-0662
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT D. SWANSON
  • NPI Number: 1871522813
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2083552
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0424
Street 795 S COLUMBIA RIVER HWY
City ST HELENS
State OR
ZIP 97051
Phone 503 397-0662
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 SCOTT D. SWANSON

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