38D2083556 CLIA NUMBER - SAFEWAY PHARMACY #4387

Laboratory Demographics

  • CLIA Code: 38D2083556
  • Facility Name: SAFEWAY PHARMACY #4387
  • Facility Address: 95 82ND DR
    GLADSTONE, OR
    ZIP 97027
  • Facility Phone: 503 723-2685
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIM DUONG
  • NPI Number: 1548299571
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2083556
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #4387
Street 95 82ND DR
City GLADSTONE
State OR
ZIP 97027
Phone 503 723-2685
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 KIM DUONG

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