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38D2274009 CLIA NUMBER - SAFEWAY PHARMACY #2627

Laboratory Demographics

CLIA Number: 38D2274009

Facility Name: SAFEWAY PHARMACY #2627

Facility Address:
3250 LEIF ERICKSON DR
ASTORIA, OR
ZIP 97103
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Facility Phone Number: 503 338-0291

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1912936964

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 38D2274009
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #2627
Street 3250 LEIF ERICKSON DR
City ASTORIA
State OR
ZIP 97103
Phone 503 338-0291
CertificateType 4
CertificateEffectiveDate 12/22/2022
CertificateExpirationDate 12/21/2024
FacilityType Waiver

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