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38D2256374 CLIA NUMBER - SAFEWAY PHARMACY #1629

Laboratory Demographics

CLIA Number: 38D2256374

Facility Name: SAFEWAY PHARMACY #1629

Facility Address:
1265 CENTER ST NE
SALEM, OR
ZIP 97301
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Facility Phone Number: 503 566-5545

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1841229887

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 38D2256374
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1629
Street 1265 CENTER ST NE
City SALEM
State OR
ZIP 97301
Phone 503 566-5545
CertificateType 4
CertificateEffectiveDate 3/23/2024
CertificateExpirationDate 3/22/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024