38D2274178 CLIA NUMBER - SAFEWAY PHARMACY #0509

Laboratory Demographics

  • CLIA Code: 38D2274178
  • Facility Name: SAFEWAY PHARMACY #0509
  • Facility Address: 5920 NE ML KING BLVD
    PORTLAND, OR
    ZIP 97211
  • Facility Phone: 503 288-3272
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIGITTE JONES
  • NPI Number: 1356370381
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2274178
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #0509
Street 5920 NE ML KING BLVD
City PORTLAND
State OR
ZIP 97211
Phone 503 288-3272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Pharmacy
Lab Director BRIGITTE JONES

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