38D2274014 CLIA NUMBER - SAFEWAY PHARMACY #1557

Laboratory Demographics

  • CLIA Code: 38D2274014
  • Facility Name: SAFEWAY PHARMACY #1557
  • Facility Address: 1735 VIRGINIA AVE
    NORTH BEND, OR
    ZIP 97459
  • Facility Phone: 541 751-7006
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STACEY MESSNER
  • NPI Number: 1205865243
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2274014
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1557
Street 1735 VIRGINIA AVE
City NORTH BEND
State OR
ZIP 97459
Phone 541 751-7006
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 STACEY MESSNER

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