38D2274009 CLIA NUMBER - SAFEWAY PHARMACY #2627

Laboratory Demographics

  • CLIA Code: 38D2274009
  • Facility Name: SAFEWAY PHARMACY #2627
  • Facility Address: 3250 LEIF ERICKSON DR
    ASTORIA, OR
    ZIP 97103
  • Facility Phone: 503 338-0291
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOANNE MARTIN
  • NPI Number: 1912936964
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2274009
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2627
Street 3250 LEIF ERICKSON DR
City ASTORIA
State OR
ZIP 97103
Phone 503 338-0291
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Pharmacy
Lab Director JOANNE MARTIN

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