38D2273723 CLIA NUMBER - SAFEWAY PHARMACY #1523

Laboratory Demographics

  • CLIA Code: 38D2273723
  • Facility Name: SAFEWAY PHARMACY #1523
  • Facility Address: 4515 SE WOODSTOCK BLVD
    PORTLAND, OR
    ZIP 97206
  • Facility Phone: 503 771-8180
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VANESSA DALY
  • NPI Number: 1821027855
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2273723
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1523
Street 4515 SE WOODSTOCK BLVD
City PORTLAND
State OR
ZIP 97206
Phone 503 771-8180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Pharmacy
Lab Director VANESSA DALY

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