38D2274132 CLIA NUMBER - SAFEWAY PHARMACY #0508

Laboratory Demographics

  • CLIA Code: 38D2274132
  • Facility Name: SAFEWAY PHARMACY #0508
  • Facility Address: 401 A AVE
    LAKE OSWEGO, OR
    ZIP 97034
  • Facility Phone: 503 675-4486
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JALPESH KACHHADIA
  • NPI Number: 1649216250
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2274132
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0508
Street 401 A AVE
City LAKE OSWEGO
State OR
ZIP 97034
Phone 503 675-4486
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Pharmacy
Lab Director JALPESH KACHHADIA

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