38D2274027 CLIA NUMBER - SAFEWAY PHARMACY #4288

Laboratory Demographics

  • CLIA Code: 38D2274027
  • Facility Name: SAFEWAY PHARMACY #4288
  • Facility Address: 145 E 18TH ST
    EUGENE, OR
    ZIP 97401
  • Facility Phone: 541 683-9684
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DALE R. WILKERSON
  • NPI Number: 1720019540
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2274027
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #4288
Street 145 E 18TH ST
City EUGENE
State OR
ZIP 97401
Phone 541 683-9684
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 DALE R. WILKERSON

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