38D2274038 CLIA NUMBER - SAFEWAY PHARMACY #4333

Laboratory Demographics

  • CLIA Code: 38D2274038
  • Facility Name: SAFEWAY PHARMACY #4333
  • Facility Address: 450 SW 3RD ST
    CORVALLIS, OR
    ZIP 97333
  • Facility Phone: 541 750-0166
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WENLONG HE
  • NPI Number: 1710916747
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2274038
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #4333
Street 450 SW 3RD ST
City CORVALLIS
State OR
ZIP 97333
Phone 541 750-0166
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 WENLONG HE

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