38D2274134 CLIA NUMBER - SAFEWAY PHARMACY #1094

Laboratory Demographics

  • CLIA Code: 38D2274134
  • Facility Name: SAFEWAY PHARMACY #1094
  • Facility Address: 1891 PIONEER PKWY E
    SPRINGFIELD, OR
    ZIP 97477
  • Facility Phone: 541 747-6627
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALBERTO SANDOVAL
  • NPI Number: 1265461297
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2274134
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1094
Street 1891 PIONEER PKWY E
City SPRINGFIELD
State OR
ZIP 97477
Phone 541 747-6627
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 ALBERTO SANDOVAL

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